Department of Otorhinolaryngology- Head and Neck Surgery, University of Pennsylvania, Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Division of Otolaryngology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110192. doi: 10.1016/j.ijporl.2020.110192. Epub 2020 Jul 10.
Vascular malformations presenting in the nasal cavity and paranasal sinuses are rare. Differentiating benign vascular malformations of the sinonasal cavity from other pathologic entities can be challenging and the role of preoperative angiography and embolization is not well defined. We present two unique cases of large pediatric sinonasal vascular malformations and describe their presentation, diagnosis and subsequent management. Both patients underwent embolization of the ipsilateral arterial supply followed by successful and complete endonasal surgical excision. This report provides description of management of the very rare occurrence of sinonasal vascular malformation in two adolescents.
鼻腔和鼻窦的血管畸形较为少见。区分鼻腔鼻窦良性血管畸形与其他病变具有一定挑战性，术前血管造影和栓塞的作用尚未明确。我们报告了两例大型小儿鼻腔鼻窦血管畸形的独特病例，描述了其表现、诊断和随后的治疗。两例患者均接受了同侧动脉供血栓塞，随后成功地完全经鼻内镜切除。本报告描述了两例青少年鼻腔鼻窦血管畸形的非常罕见病例的处理方法。
