Case Report

Intraosseous Cavernous Hemangioma

A Rare Presentation in Maxilla

Burak Kaya, MD; Servet Elçin Işılgan, MD; Cem Çerkez, MD; Volkan Otrakçı, MD; Savaş Serel, MD

Disclosures

ePlasty. 2014;14 

In This Article

Abstract and Introduction

Abstract

Objective: Hemangiomas are benign vascular lesions mostly arising from soft tissues. However, intraosseous hemangioma is a rare entity, comprising only 1% of benign bone tumors. We describe here the presentation, diagnosis, and treatment of a 42-year-old woman with a painless hard swelling—diagnosed to be intraosseous hemangioma via orbital magnetic resonance imaging—localized on the left infraorbital margin.

Methods: After en bloc excision of the mass with safety margins through a subciliary incision, the defect was reconstructed via Medpor, which was fixed to the drilled bones with polypropylene sutures.

Results: Histopathological diagnosis of the specimen revealed intraosseous cavernous hemangioma. There seems to be no recurrence or any cosmetic deformity 3 months postoperatively.

Conclusion: Total surgical excision is the preferred method of treatment for intraosseous hemangiomas with reconstruction. In this patient, we used Medpor for reconstruction of orbital floor, the infraorbital orbital rim and anterior wall of maxillary sinus. We think that Medpor is a good option since a natural smooth malar contour and adequate orbital rim can be achieved and there is no any other scar.

Introduction

Intraosseous vascular anomalies are rare and account for less than 1% of all bony tumors. The sites most commonly involved are the vertebral column and the skull. Within the calvarium, the parietal bone is most commonly involved followed by the frontal bone. Within the facial skeleton, vascular anomalies occur in the mandible, maxilla, and nasal bones.[1] We report a case of intraosseous cavernous hemangioma of the maxilla of the left orbital floor, protruding toward the left maxillary sinus and orbital cavity.

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