Case series of benign nasal masses with epistaxis
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20220476Keywords:
Epistaxis, JNA, Bleeding nasal polyposis, HemangiomasAbstract
Presenting a case series on the benign nasal masses with epistaxis and their mode of management of cases during the year 2016-2019. The patients coming to OPD with complaints of nasal mass with nasal bleeding were included in this series. Complete blood count, s. electrolytes, renal function tests, liver function tests, chest X-ray, ECG, CECT neck +thorax and biopsy was done. Excision biopsy was done and specimen sent for HPE. This series showed benign nasal mass of which hemangioma was the most common lesion causing epistaxis managed with complete excision of the tumor with less recurrence rate. Epistaxis is a common symptom and recurrent nasal bleeding requires precise clarification of the cause and exclusion diagnostics prior to therapy planning. It is important here to distinguish between locally induced bland epistaxis and symptomatic epistaxis of benign lesions of nose.
References
Archontaki M, Stamou AK, Hajiioannou JK, et al. Cavernous haemangioma of the left nasal cavity. Acta Otorhinolaryngol Ital. 2008;28:309-11.
Enjiolras O, Mulliken JB. Vascular tumors and vascular malformations (new issues). AdvDermatol. 1997;13:375-423.
Hoffmann DF, Israel J. Intraosseous frontal hemangioma. Head and Neck. 1990;12:160-3.
Batsakis JG, Rice DH. The pathology of head and neck tumors: vasoformative tumors, part 9A. Head Neck Surg. 1981;3:231-9.
Engel T, Scorner W, Flex R, Witt H, Jahne V. Cavernous hemangioma of the maxillary sinus. 1997;38:342-4.
Bignami M, Dallan I, Battaglia P, Lenzi R, Pistochini A, Castelnuovo P. Endoscopic, endonasal management of sinonasal haemangiopericytoma: 12-year experience. J Laryngol Otol. 2010;124(11):1178-82.
Thiringer JK, Costantino PD, Houston G. Sinonasal hemangiopericytoma: case report and literature review. Skull Base Surg. 1995;5(3):185-90.
Szymanska A, Szymanski M, Czekajska-Chehab E, Szczerbo-Trojanowska M. Two types of lateral extension in juvenile nasopharyngeal angiofibroma: Diagnostic and therapeutic management. Eur Arch Otorhinolaryngol. 2015;272:159-66.
Fisch U. The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope. 1983;93:36-44.
Marietta H, Jurgen UGH, Ewa R. Endoscopically controlled laser therapy of recurrent epistaxis with the 940nm diode laser. Medical Laser Application. 2002;17:231-42.