Cavernous Hemangioma Involving the Maxilla: A Case Report

Jahangir Ghorbani, Golfam Mehrparvar



Background: Intraosseous vascular lesions are rare, they seldom occur in facial skeleton and maxilla is one of the least reported sites of involvement.

Case Presentation: We report a 45-year-old woman with cavernous hemangioma of maxillary bone involving inferior turbinate. It   showed osteolytic expansile nature in imaging. The mass was approached via facial degloving technique. Histologic evaluation revealed vascular lesion in favor of cavernous hemangioma.

Conclusion: Intraosseous vascular anomalies are one of the diagnoses of facial skeletal masses not routinely occurring to the mind especially in adults due to their rarity and various presentations. They can mimic other pathologies with regard to symptoms and imaging characteristics. They also should be differentiated from malignancies, though frequently the definite diagnosis will be uncertain until proven histologically.


Facial Degloving; Hemangioma, Cavernous; Vascular Malformations

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Garzon MC, Huang JT, Enjolras O, Frieden IJ. Vascular malformations: Part I. Journal of the American Academy of Dermatology. 2007;56:353–70.

Cheng NC, Lai DM, Hsie MH, Liao SL, Chen YB. Intraosseous hemangiomas of the facial bone. Plastic and reconstructive surgery. 2006 Jun 1;117(7):2366-72.

Sáenz A, Porto N, Sánchez M. Intraosseous cavernous hemangioma: presentation of a clinical case. Egyptian Journal of Neurosurgery. 2018; 33:22.

Kaya B, Işılgan SE, Cerkez C, Otrakçı V, Serel S. Intraosseous cavernous hemangioma: a rare presentation in maxilla. Eplasty. 2014;14.

Choukas NC, Toto PD, Valaitis J. Sclerosing cavernous hemangioma of the maxilla: Report of a case. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 1963 Jan 1;16(1):17-20.

Elif B, Derya Y, Gulperi K, Sevgi B. Intraosseous cavernous hemangioma in the mandible: a case report. Journal of clinical and experimental dentistry. 2017 Jan;9(1):e153.

Gologorsky Y, Shrivastava RK, Panov F, Mascitelli J, Del Signore A, Govindaraj S, Smethurst M, Bronster DJ. Primary intraosseous cavernous hemangioma of the clivus: case report and review of the literature. Journal of neurological surgery reports. 2013 Jun;74(01):017-22.

Yang Y, Guan J, Ma W, Li Y, Xing B, Ren Z, Su C, Wang R. Primary intraosseous cavernous hemangioma in the skull. Medicine. 2016 Mar;95(11).

Buhl R, Barth H, Dörner L, Nabavi A, Rohr A, Mehdorn HM. De novo development of intraosseous cavernous hemangioma. Journal of clinical neuroscience. 2007 Mar 1;14(3):289-92.

Colombo F, Cursiefen C, Hofmann-Rummelt C, Holbach LM. Primary intraosseous cavernous hemangioma of the orbit. American journal of ophthalmology. 2001 Jan 1;131(1):151-2.

Tusscher MT, Wilmink JT, Beuls E. Sphenoid intraosseous cavernous hemangioma: a rare cause of orbital congestion. Neuro-Ophthalmology. 1996 Jan 1;16(2):125-7.

Goomany A, Prowse S, Smith I. Intraosseous cavernous haemangioma of the inferior turbinate. Case Reports. 2015 Oct 22;2015:bcr2015212624.

Zlotogorski A, Buchner A, Kaffe I, Schwartz-Arad D. Radiological features of central haemangioma of the jaws. Dentomaxillofacial Radiology. 2005 Sep;34(5):292-6.

Balan P, Gogineni SB, Shetty SR, Areekat FK. Radiologic features of intraosseous hemangioma: A diagnostic challenge. Archives of Medicine and Health Sciences. 2014 Jan 1;2(1):67.

Heckl S, Aschoff A, Kunze S. Cavernomas of the skull: review of the literature 1975–2000. Neurosurgical review. 2002 Mar 1;25(1-2):56-62.

Lamberg MA, Tasanen A, Jääskeläinen J. Fatality from central hemangioma of the mandible. Journal of oral surgery (American Dental Association: 1965). 1979 Aug;37(8):578-84.

Sary A, Yavuzer R, Latfoglu O, Çelebi MC. Intraosseous zygomatic hemangioma. Annals of plastic surgery. 2001 Jun 1;46(6):659-60.

Garcı́a-Marı́n V, Ravina J, Trujillo E, González-Feria L. Symptomatic cavernous hemangioma of the occipital condyle treated with methacrylate embolization. Surgical neurology. 2001 Nov 1;56(5):301-3.



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