We describe an unusual case of intraosseous hemangioma of the vomer. The lesion had a characteristic radiographic appearance, especially on the computed tomographic scan. The two most interesting points in this case were the rarity as a site for the occurrence of hemangioma and the successful extirpation of the tumor via the Le Fort I osteotomy approach without embolization of the feeding vessels. The benefits of this approach included the wide surgical field afforded deep in the midface region, which was important for controlling bleeding, as well as the complete extirpation of the tumor.
Get full access to this article
View all access options for this article.
References
1.
FriedmannI., OsbornD.A.Pathology of Granulomas and Neoplasms of the Nose and Paranasal Sinuses.Edinburgh: Churchill Livingstone, pp. 209–230, 1982.
2.
OsbornD.A.Hemangiomas of the nose.J Laryngol Otol73: 174–179, 1959.
3.
WykeB.D.Primary hemangioma of the skull: A rare cranial tumor.Am J Roentgenol Radium Ther Nucl Med61: 302–316, 1949.
4.
DorfmanH.D., SteinerG.C., JaffeH.L.Vascular tumors of bone.Hum Pathol2: 349–376, 1971.
5.
WoldL.E., SweeR.G., SimF.H.Vascular lesions of bone.Pathol Annu20: 101–137, 1985.
6.
DaviesD.Cavernous hemangioma of the mandible.Plast Reconstr Surg33: 457–461, 1964.
7.
StassiJ., RaoV.M., LowryL.Hemangioma of bone arising in the maxilla.Skeletal Radiol12: 187–191, 1984.
KanterW.R., BrownW.C., NoeJ.M.Nasal bone hemangiomas: A review of clinical, radiologic, and operative experience.Plast Reconstr Surg76: 774–776, 1985.
10.
ZizmorJ., RobbettW.F., SpiroR.H.Hemangioma of the nasal bones: Radiographic appearance.Ann Otol Rhinol Laryngol87: 360–363, 1978.
11.
GilM.C., Navarro-VilaC.Intraosseous hemangioma of the zygomatic bone. A case report.Int J Oral Maxillofac Surg21: 287–291, 1992.
12.
MarshakG.Hemangioma of the zygomatic bone.Arch Otolaryngol106: 581–582, 1980.
13.
WarmanS., MyssiorekD.Hemangioma of the zygomatic bone.Ann Otol Rhinol Laryngol98: 655–658, 1989.
14.
DavisE., MorganL.R.Hemangioma of bone.Arch Otolaryngol99: 443–445, 1974.
15.
SussR.A., KumarA.J., DorfmanH.D.Capillary hemangioma of the sphenoid bone.Skeletal Radiol11: 102–107, 1984.
16.
CatalanoP.J., BillerH.F., SachdevV.Access to the central skull base via a modified Le Fort I maxillectomy. The palatal hinge flap.Skull Base Surg3: 60–68, 1993.
17.
BelmontJ.R.The Le Fort I osteotomy approach for nasopharyngeal and nasal fossa tumors.Arch Otolaryngol Head Neck Surg114: 751–754, 1988.
18.
FrameJ.W., PutnamG., WakeM.J.C., RolfeE.B.Therapeutic arterial embolisation of vascular lesions in the maxillofacial region.Br J Oral Maxillofac Surg25: 181–194, 1987.
19.
LaniganD.T., HeyJ.H., WestR.A.Aseptic necrosis following maxillary osteotomies: report of 36 cases.J Oral Maxillofac Surg48: 142–156, 1990.
20.
NelsonR.L., PathM.G., OgleR.G., WaiteD.E.Quantitation of blood flow after Le Fort I osteotomy.J Oral Surg35: 10–16, 1977.
