Cavernous Haemangioma of the Nasal Cavity

Hemangiomas are benign endothelium lesions, rare in the nasal bones and even rarer in the paranasal cavities; however, it has to be added to the differential diagnosis of an intranasal bleeding mass. They originate in the skin, mucosae, and deep structures such as bone, muscles, and glands. They are of two major types, capillary and cavernous. Mostly nasal hemangiomas are small, not-bone lesion, and arising from the nasal septum or vestibule. Few are those which originate from the lateral wall of the nose, and in these cases with predominance of the cavernous type and tendency to faster growth. Cavernous hemangiomas of the nasal cavity, when symptomatic, produce recurrent epistaxis or hemoptysis and nasal obstruction. A high index of suspicion, upon computed tomography delineation of the extent of the mass, including the presence of bone remodeling and histological evaluation can be usefully employed to define an accurate diagnosis. The authors report a case of a 75-year-old female patient with a huge cavernous hemangioma arising from the mucosae of the left middle nasal meatus. The successfully extirpation with minimally invasive transnasal endoscopic technique was used, with adequate exposure, sufficient bleeding control, and complete removal of a nasal hemangioma reaching the nasopharynx and paranasal sinuses.