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CC BY 4.0 · Eur J Dent 2022; 16(01): 230-233
DOI: 10.1055/s-0041-1732948
Case Report

Cavernous Hemangioma in the Orbital Cavity: Case Report

José Afonso de Almeida
1   Department of Endodontics, President Antonio Carlos University - Porto Nacional – ITPAC - Porto/FAPAC, Palmas, Brazil
,
Paula Vitória Bido Gellen
1   Department of Endodontics, President Antonio Carlos University - Porto Nacional – ITPAC - Porto/FAPAC, Palmas, Brazil
,
Daniel Martins Hiramatsu
2   Department of Surgery, Head, and Neck, Palmas Public General Hospital, Palmas, Brazil
,
Mariana Araújo dos Santos
1   Department of Endodontics, President Antonio Carlos University - Porto Nacional – ITPAC - Porto/FAPAC, Palmas, Brazil
,
Larissa Bitencourt
1   Department of Endodontics, President Antonio Carlos University - Porto Nacional – ITPAC - Porto/FAPAC, Palmas, Brazil
,
Eduardo Fagury Videira Marceliano
3   Dental Clinic Department, Brazilian Army General Hospital of Belem, Belem, Brazil
,
Michelle Paiva Weydt Galhardi
4   Department of Dental Materials, Sao Jose University, Rio de Janeiro, Rio de Janeiro, Brazil
,
Marília F. Marceliano-Alves
5   Department of Endodontics, Iguaçu University, Nova Iguaçu, Brazil
,
Eduardo Fernandes Marques
1   Department of Endodontics, President Antonio Carlos University - Porto Nacional – ITPAC - Porto/FAPAC, Palmas, Brazil
› Author Affiliations Funding This study received its financial support from Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ), Brazilian Governmental Institution.
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Abstract

Cavernous hemangiomas are benign malformations of vascular origin, usually well circumscribed and slow to grow. These lesions can be asymptomatic, being discovered unintentionally in imaging exams or symptomatic, indicated mainly by the presence of proptosis, diplopia, and visual disturbances by optic nerve compression. The complementary exams involve computed tomography associated with contrast, color Doppler, magnetic resonance, and angiography. Treatment can be conservative or surgical depending on the case, and the open therapy usually involves lateral, supraorbital, transconjunctival, transantral, pterional, transnasal, and extradural endoscopic orbitotomy. The present study aimed to report a recurrent case of hemangioma in the orbital cavity signaled by ocular proptosis, hyperemia, and ocular pain.The lesion was achieved through the Weber-Ferguson access with zygomatic osteotomy and preservation of the infraorbital nerve. The excision of the lesion was performed, and the previously displaced fragments were fixed with 1.5 mm mini plates. The patient has a chance of progressing with visual impairment due to considerable manipulation of the optic nerve and is being followed up.The reported case showed a successful diagnosis and therapeutic conduct, remaining now in the evolution and follow-up scenario.

Keywords

hemangioma - cavernous - oral pathology


Publication History

Article published online:
21 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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