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上颌窦毛细血管瘤:诊断挑战与内镜手术结果——来自叙利亚的一例罕见病例报告

Capillary hemangioma of the maxillary sinus: diagnostic challenges and endoscopic surgical outcomes - a rare case report from Syria.

作者信息

Mohaisen Mais Alreem Basel, Sleiay Bilal, Sleiay Mouhammed, Al-Kubati Anas Saeed Abdulmalek, Tannous Elias, Alomar Abdullah Mamduh, Sadeq Diaa Abdulhameed

机构信息

Faculty of Medicine, Al-Sham Private University, Damascus, Syrian Arab Republic.

Medical Student, 21 September University for Medical and Applied Sciences, Sana'a, Yemen.

出版信息

J Surg Case Rep. 2025 Jun 25;2025(6):rjaf443. doi: 10.1093/jscr/rjaf443. eCollection 2025 Jun.

DOI:10.1093/jscr/rjaf443
PMID:40568019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188190/
Abstract

About 10% of cervicofacial tumors are maxillary sinus hemangiomas, which are uncommon, benign vascular tumors. Their diagnosis mostly depends on imaging techniques such as computed tomography and magnetic resonance imaging, but absolute confirmation needs histological testing. We describe a successful endoscopic sinus surgery without prior embolization for a maxillary sinus hemangioma. Imaging results showing a non-hypervascular lesion, reducing the risk of intraoperative bleeding, provided the basis for the choice. There was no recurrence or problems throughout the postoperative recovery period. This case, the first reported in Syria, highlights the potential of a purely endoscopic technique and emphasizes the necessity for future investigations to enhance treatment procedures.

摘要

约10%的颌面部肿瘤是上颌窦血管瘤,这是一种罕见的良性血管肿瘤。其诊断主要依赖于计算机断层扫描和磁共振成像等影像学技术,但确诊需要组织学检查。我们描述了一例成功的内镜鼻窦手术,该手术未预先进行栓塞治疗上颌窦血管瘤。影像学结果显示病变无高血供,降低了术中出血风险,为手术选择提供了依据。术后恢复期无复发或其他问题。该病例是叙利亚首例报道,突出了单纯内镜技术的潜力,并强调了未来研究以改进治疗方法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/b04274cae358/rjaf443f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/305460067f3d/rjaf443f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/009c92d8f9bb/rjaf443f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/b04274cae358/rjaf443f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/305460067f3d/rjaf443f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/009c92d8f9bb/rjaf443f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ef/12188190/b04274cae358/rjaf443f3.jpg

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本文引用的文献

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Pre-surgical Embolization for Nasal Lobular Capillary Hemangioma: A Case Report.鼻小叶状毛细血管瘤的术前栓塞:一例报告
Cureus. 2025 Feb 23;17(2):e79502. doi: 10.7759/cureus.79502. eCollection 2025 Feb.
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Uncommon Nasal Mass Presentation: A Radiological Case Series.罕见的鼻腔肿物表现:放射学病例系列
J Pers Med. 2024 Dec 9;14(12):1145. doi: 10.3390/jpm14121145.
3
Capillary Hemangioma of the Maxillary Sinus: A Rare Cause of Massive Life-Threatening Epistaxis.上颌窦毛细血管瘤:危及生命的大量鼻出血的罕见原因。
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):4071-4074. doi: 10.1007/s12070-023-04046-z. Epub 2023 Jul 12.
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Ossifying hemangioma of the frontal sinus: a case report.额窦骨化性血管瘤:一例报告
Braz J Otorhinolaryngol. 2024 Jan-Feb;90(1):101341. doi: 10.1016/j.bjorl.2023.101341. Epub 2023 Oct 11.
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The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南:更新共识外科病例报告(SCARE)指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
6
A Rare Case of Giant Cavernous Hemangioma of the Maxillary Sinus.上颌窦巨大海绵状血管瘤 1 例罕见报告。
Am J Case Rep. 2022 Oct 9;23:e937191. doi: 10.12659/AJCR.937191.
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Hemangioma of the maxillary sinus: A benign and rare cause of epistaxis.上颌窦血管瘤:鼻出血的一种良性罕见病因。
Radiol Case Rep. 2022 May 28;17(8):2607-2611. doi: 10.1016/j.radcr.2022.04.062. eCollection 2022 Aug.
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How I do it: Surgical management of maxillary sinus hemangiomas via prelacrimal approach.经泪前隐窝入路的上颌窦血管瘤的外科治疗方法
Rhinology. 2020 Aug 1;58(4):413-415. doi: 10.4193/Rhin20.178.
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An Unusual Case of Extensive Cavernous Hemangioma of the Nasopharynx.一例罕见的广泛性鼻咽海绵状血管瘤病例。
Iran J Otorhinolaryngol. 2020 Jan;32(108):53-56. doi: 10.22038/ijorl.2019.35143.2159.
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Hemangioma of the Cavernous Sinus: A Case Series.海绵窦血管瘤:病例系列
J Neurol Surg Rep. 2018 Apr;79(2):e26-e30. doi: 10.1055/s-0038-1641731. Epub 2018 Apr 26.