Lobular Capillary Hemangioma of the Nasal Cavity: A Retrospective and Prospective Study

Suhela Rachakonda; S Srikanth

Volume : VII, Issue : I, January - 2018

Lobular Capillary Hemangioma of the Nasal Cavity: A Retrospective and Prospective Study

Suhela Rachakonda, S Srikanth

Abstract :

Background: Lobular capillary hemangioma of the nasal cavity is an uncommon benign vascular tumor of unknown etiology. There have been only very few studies in the literature.

Aims: This study aimed to analyze the clinical features, radiological findings, treatment modalities, and outcome of lobular capillary hemangioma.

Materials and Methods: Retrospective and prospective chart reviews were performed on patients who were diagnosed with lobular capillary hemangioma of the nasal

cavity from January 2014 to November 2016. Data retrieved included age, gender, clinical symptoms, computed tomography (CT) findings, treatment modalities, and outcome for further analysis.

Results: Of the 30 patients identified, there were ten males and twenty females ranging from 17 to 86 years of age, with a mean age of 43.8�20.2. Epistaxis was the most common presenting symptom. All patients presented a unilateral nasal lobular capillary hemangioma. The most commonly affected site was the anterior nasal septum, followed by the inferior turbinate, vestibule, middle turbinate, and posterior nasal septum. All lesions presented as soft tissue density without bony erosions under CT examination. Endoscopic excisional surgery (n=24) or classical local excision (n=6) was performed for complete removal of the hemangioma. No evidence of recurrence was observed with 6 to 12 months of follow–up.

Conclusion: Lobular capillary hemangioma of the nasal cavity was usually found to occur in anterior septum with epistaxis. Complete excision with endoscopic surgery or classical local excision was recommended and recurrence can be prevented.