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


ePlasty. 2014;14 

In This Article

Methods/Case Presentation

A 42-year-old woman was referred to our clinic with a complaint of gradually enlarging mass on her left cheek that she had noted in the last 3 years. The mass was painless and did not produce any symptom except for a hint of cosmetic deformity. On physical examination, a bony, hard, painless mass measuring about 1.5 × 1 cm2 was palpated on the left infraorbital margin. There were no signs in the eye and in particular any abnormality in vision, ocular movement, or position of the globe; there was no regional paresthesia. The overlying skin was mobile and normal in appearance. No other specific finding was observed in her head or neck region.

An orbital magnetic resonance imaging (MRI) showed a 16-mm diameter, well-circumscribed mass originating from left maxilla in close proximity to the zygomatic bone (Fig 1). The mass was on the left inferolateral orbital wall protruding toward orbital cavity and maxillary sinus (Fig 2). Intraorbital structures were reported to be intact without any sign of infiltration, compression, or displacement. The diagnosis was intraosseous cavernous hemangioma. Eosinophilic granuloma and fibrous dysplasia was considered in the differential diagnosis.

Figure 1.

Sagittal MRI image of the infraorbital lesion.

Figure 2.

Axial MRI image of the infraorbital lesion.

En bloc excision was decided to be the right surgical approach. Preoperative routine blood investigations were within normal limits. Anesthesiology consultation was done and the patient was scheduled for surgery under general anesthesia.