The St. Marianna Medical Journal
Online ISSN : 2189-0285
Print ISSN : 0387-2289
ISSN-L : 0387-2289
case of report
A Case of Organized Hematoma in the Maxillary Sinus Palpated as a Subcutaneous Cheek Tumor with Bone Destruction
Meri TakadaYukio SekiMasaki AiharaAkiyoshi KajikawaHiroshi NishimotoYoshimitsu SaitoYasuhiro MiyamotoSaeko Naruki
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2020 Volume 48 Issue 3 Pages 123-128

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Abstract

We report the case of a 22-year-old man who presented with a mass in his right cheek and frequent swelling of his right upper gum. Clinical and radiological examinations revealed an organized hematoma (OH) in the right maxillary sinus. Thus, endoscopic resection of the lesion was performed after preoperative embolization in the right mandibular artery.
OH is a rare hemorrhagic lesion mostly occurring in the sinonasal cavity. Nasal bleeding and nasal obstruction are the primary clinical features of OH. Although this lesion is relatively common in otolaryngology, it is rarely seen in the plastic surgery field; therefore, a careful diagnosis should be made. To our knowledge, this is the first case study in the literature to report an OH in the maxillary sinus, which was recognized as a subcutaneous tumor with bone destruction.

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© 2020 St. Marianna University Society of Medical Science
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