Kornfehl J, Gstöttner W, Kontrus M, Sedivy R
Department of Otorhinolaryngology, University of Vienna, Austria.
Eur Arch Otorhinolaryngol. 1996;253(3):172-5. doi: 10.1007/BF00615116.
Hemangiomas of the head and neck region can represent a therapeutic challenge depending on their size, location and symptoms. We report a case of a 40-year-old woman who presented with a 2-cm encapsulated cavernous hemangioma in the infratemporal fossa (ITF). Extensive workup included CT, MRI and angiography. A transoral/transpalatine approach avoiding osteotomy was used for surgical excision. After an unremarkable postoperative course the patient has remained disease-free after a 2-year follow-up period. We suggest this surgical approach as an alternative in carefully selected cases of circumscribed small, benign lesions of the ITF.
头颈部血管瘤因其大小、位置和症状不同，可能带来治疗挑战。我们报告一例40岁女性患者，其颞下窝出现一个2厘米大小的包膜性海绵状血管瘤。全面检查包括CT、MRI和血管造影。采用经口/经腭入路避免截骨术进行手术切除。术后过程顺利，患者在2年随访期后无疾病复发。对于精心挑选的颞下窝局限性小的良性病变病例，我们建议采用这种手术方法作为一种替代方案。
