Three-dimensional reconstruction after removal of zygomatic intraosseous hemangioma

被引:19
作者
Gómez E. [1 ,3 ]
González T. [1 ]
Arias J. [1 ]
Lasaletta L. [2 ]
机构
[1] Oral and Maxillofacial Surgery Service, Hospital Universitario La Paz, Madrid
[2] Otorhinolaryngology Service, Hospital Universitario La Paz, Madrid
[3] 28027 Madrid
关键词
Autologous reconstruction; Intraosseous hemangioma; Malar bone;
D O I
10.1007/s10006-008-0115-7
中图分类号
学科分类号
摘要
Introduction: Intraosseous hemangioma, especially in the zygomatic area, is a very rare pathologic condition among the osseous tumors of the head and neck area. Clinical presentation includes a painless mass with progressive growth and hard consistence. Diagnosis is performed by means of computed tomography (CT). Treatment includes radical en bloc surgical excision with healthy bone margins in order to avoid blood loss. Previous embolization is not necessary. Bony defect reconstruction must be performed to avoid secondary deformities. Case report: We present a case report of a 30-year-old female presenting a progressive painless swelling in the malar and zygomatic regions. CT scan demonstrated a right zygomatic lesion that extended into the orbital floor and lateral orbital wall, affecting also the zygomatic arch. The biopsy revealed an intraosseous hemangioma. Treatment was performed including an en bloc resection with healthy bony margins and primary reconstruction with calvarian bone graft in association with galea-pericranium flap. © Springer-Verlag 2008.
引用
收藏
页码:159 / 162
页数:3
相关论文
共 12 条
[1]  
Dahlin D., Benign vascular tumors, Bone Tumors, pp. 307-316, (1996)
[2]  
Konior R.J., Kelley T.F., Hemmer D., Intraosseous zygomatic hemangioma, Otolaryngol Head Neck Surg, 121, pp. 122-125, (1999)
[3]  
Cuesta Gil M., Navarro-Vila C., Intraosseous hemangioma of the zygomatic bone. A case report, Int J Oral Maxillofac Surg, 21, pp. 287-291, (1992)
[4]  
Marshak G., Hemangioma of the zygomatic bone, Arch Otolaryngol, 106, pp. 581-582, (1980)
[5]  
Koybasi S., Saydam L., Kutluay L., Intraosseous hemangioma of the zygoma, Am J Otolaryngol, 24, pp. 194-197, (2003)
[6]  
de Ponte F.S., Bottini D.J., Valentini V., Surgical treatment of hemangioma of bones of the orbitozygomatic region, Minerva Stomatol, 43, pp. 365-372, (1994)
[7]  
Hirano S., Shoji K., Kojima H., Omori K., Use of hydroxyapatite for reconstruction after surgical removal of intraosseous hemangioma of the zygomatic bone, Plast Reconstr Surg, 100, pp. 86-90, (1997)
[8]  
Leibovitch I., Dray J.P., Leibovitch L., Brazowsky E., Primary intraosseous hemangioma of the zygomatic bone, Plast Reconstr Surg, 111, pp. 519-521, (2003)
[9]  
Moore S.L., Chun J.K., Mitre S.A., Som P.M., Intraosseous hemangioma of the zygoma: CT and MR findings, Am J Neuroradiol, 22, pp. 1383-1385, (2001)
[10]  
Sary A., Yavuzer R., Latfoglu O., Celebi M.C., Intraosseous zygomatic hemangioma, Ann Plast Surg, 46, pp. 659-660, (2001)