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鼻骨骨内血管瘤:溢泪的不常见原因。

Intraosseous Hemangioma of Nasal Bone: Unusual Cause of Epiphora.

机构信息

Department of Plastic and Reconstructive Surgery.

Department of Clinical Pathology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

J Craniofac Surg. 2020 Oct;31(7):e722-e723. doi: 10.1097/SCS.0000000000006710.

Abstract

Intraosseous hemangioma is very rare, accounting for <1% of bone tumors. Nasal bone origin of it is even rarer. A 63-year-old female patient visited our clinic with a complaint of epiphora. On physical examination, about 2-cm-sized nontender and fixed mass was palpated along the left nasomaxillary suture area. Preoperative magnetic resonance imaging findings were consistent with intraosseous hemangioma originating from the nasal bone. Epiphora was thought to be developed due to the mass effect and a marginal resection of the mass was performed. The defect was reconstructed with a septal cartilage and porous polyethylene implant (Synpor). Postoperatively, epiphora subsided and there has been no sign of recurrence or facial deformity during 6 months of follow-up.

摘要

骨内血管瘤非常罕见,占骨肿瘤的<1%。起源于鼻骨的则更为罕见。一位 63 岁女性因溢泪就诊于我科。体格检查发现,左侧鼻上颌缝区可触及约 2cm 大小、无触痛且固定的肿块。术前磁共振成像结果与起源于鼻骨的骨内血管瘤相符。溢泪被认为是由于肿块的占位效应引起的,行肿块边缘切除术。采用鼻中隔软骨和多孔聚乙烯植入物(Synpor)进行缺损重建。术后溢泪消退,随访 6 个月未见复发或面部畸形。

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