Cavernous Hemangioma of the Posterior Aspect of the Inferior Meatus: A Rare Etiology and Location.

Ear Nose Throat J

Department of Anesthesiology and Pain Medicine, College of Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.

Published: November 2024

AI Article Synopsis

  • Nasal hemangiomas typically appear in the front part of the nose but can occasionally develop in unusual areas, like the posterior inferior meatus, as evidenced by a case study.
  • A 79-year-old man experienced nosebleeds and nasal obstruction due to a cavernous hemangioma discovered during an endoscopic evaluation.
  • The hemangioma was surgically removed without complications, and no recurrence was noted after two years, suggesting that forceful nose blowing may trigger this rare condition.

Article Abstract

Nasal hemangiomas most commonly occur in the anterior part of the nose, including the Little's area of the nasal septum, the anterior tip of the inferior nasal turbinate, and the vestibule. They rarely develop in the posterior part of the inferior nasal turbinate and meatus. Here, we report a case of cavernous hemangioma at the posterior aspect of the left inferior meatus in a 79-year-old man who presented with epistaxis and progressive nasal obstruction for 4 months after blowing his nose forcefully and review the relevant literature. An endoscopic evaluation revealed a dark red mass in the posterior part of the left inferior meatus that did not extend to the posterior choana or nasopharynx. The tumor was removed with endoscopic surgery under general anesthesia. No recurrence was observed during a 2-year follow-up. Our experience suggests that forceful nose blowing is a traumatic stimulus that can lead to hemangiomas arising in the posterior nasal cavity in rare instances.

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Source
http://dx.doi.org/10.1177/01455613241304903DOI Listing

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