Department of Plastic Reconstructive and Aesthetic Surgery, University of Tokyo, Clinical Research Center A 2F, Hongo 7-3-1, Bunkyoku-City, Tokyo 113-8655, Japan.
Department of Otolaryngology, University of Tokyo, Clinical Research Center A 2F, Hongo 7-3-1, Bunkyoku-City, Tokyo 113-8655, Japan.
Auris Nasus Larynx. 2020 Dec;47(6):1064-1069. doi: 10.1016/j.anl.2019.12.002. Epub 2020 Jan 10.
A rare case of intraosseous cavernous hemangioma was identified in the nasal root. Using a combination of endoscopic surgery and open rhinoplasty, an osteotomy was performed and resection of the hemangioma was successfully achieved with transcolumellar and infracartilaginous incisions and 2 stab incisions. No adverse side effects were observed after the procedure, no tumor recurrence was observed at the 16-month-postoperative follow-up. The preserved periosteum contributed to the osteogenesis and thus, a need for a reconstructive surgery was indicated. The favorable outcomes associated with this approach justify and authenticate the use of endoscopy-assisted open rhinoplasty in the treatment of intraosseous cavernous hemangiomas without leaving ventral surgical scarring.
在鼻根处发现了一例罕见的骨内海绵状血管瘤。我们采用内镜手术联合开放式鼻整形术，进行截骨术，通过经鼻中隔和软骨下切口以及 2 个stab 切口成功切除了血管瘤。术后无不良反应，16 个月的术后随访未发现肿瘤复发。保留的骨膜有助于成骨，因此需要进行重建手术。这种方法的良好效果证明了内镜辅助开放式鼻整形术在治疗骨内海绵状血管瘤时的有效性，且不会留下下腹部手术瘢痕。
