색전술 후 부비동 내시경 수술을 이용한 상악동 해면상 혈관종의 치료

Although hemangiomas are common in the head and neck region, they occur rarely in sinonasal cavity. The patients of sinonasal cavernous hemangiomas tend to present with recurrent epistaxis, nasal obstruction and rarely hemoptysis. We report a 20-year-old woman with a cavernous hemangioma of the maxillary sinus, presented with blood tinged sputum, toothache. The tumor was surgically removed successfully using nasal endoscope after embolization without complications. There is no evidence of recurrence after 6 months from the operation. Preoperative diagnosis is important since hemangiomas can frequently cause intractable bleeding during surgery, and mimic malignancy. (J Clinical Otolaryngol 2009;20:251-255)