Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

비강 및 부비동에 범발한 혈관종

안성기1, 전시영1, 송병욱1, 심보성1, 홍순관1, 황의기1
Seong Ki Ahn1, Sea Yuong Jeon1, Byung Uk Song1, Bo Seong Sim1, Soon Kwan Hong1, Eui Gee Hwang1
1경상대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Gyeong Sang National University, Chinju, Korea

© Copyright 1995 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020


Hemangiomas involving the paranasal sinuses are rare. They are described to be a well circumscribed, intensely enhancing mass, causing benign appearing bone changes at CT scan. We report 4 cases of hemangiomas involving the nasal cavity, maxillary sinus, and ethmoidal sinus, presented with refractory epistaxis, and easily bleeding, friable intranasal mass. CT scan showed a large, inhomogenously enhancing mass with significant bone erosion, which made it difficult to differentiate hemangiomas from the most common malignant epithelial tumors on the basis of the imaging findings. Medial maxillectomy by midface degloving, rather than lateral rhinotomy with lip splitting, was recommended for surgical excision. Major intraoperative bleeding was avoided by the use of adjunctive preoperative embolization or by intraoperative ligation of the external carotid artery.

Keywords: Hemangiomas; Nasal cavity; Paranasal sinuses