Venous malformation of the ethmoid and sphenoid sinuses

Gertel, Alexander J.; Southwood, Jessica E.; North, Paula E.; Poetker, David M.; Loehrl, Todd A.

doi:10.1016/j.amjoto.2015.09.008

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…The growth rate of hemangiomas is relatively slow, displaying an expansive growth pattern with well-circumscribed margins. Sphenoid sinus hemangiomas can present with central nervous system (CNS) symptoms such as headaches, visual impairment, diplopia, and olfactory disturbances, depending on the size and location of the lesion [ 1 , 6 , 12 , 13 ]. The present case showed similar CNS symptoms as well, consistent with the rare but documented progression of sphenoid sinus hemangiomas reported in the literature [ 6 , 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Sphenoid Sinus Hemangioma With Intrasellar and Cavernous Sinus Extension

Fujii,

Yokoyama,

Tanaka

et al. 2024

Cureus

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Sphenoid sinus hemangiomas are uncommon and pose significant diagnostic challenges due to their rarity and the complex symptoms associated with their critical anatomical location. This report discusses a woman in her 40s who presented with worsening headaches, diplopia, and a sensation of pressure behind her eyes. Diagnostic imaging revealed a lobulated mass in the sphenoid sinus extending into the cavernous sinus and sella, initially mimicking an aggressive neoplastic pathology. However, histopathological examination following endovascular embolization and partial surgical resection confirmed the diagnosis of a cavernous hemangioma. This case highlights the importance of considering hemangiomas in the differential diagnosis of sphenoid sinus masses, especially when patients present with atypical symptoms and imaging shows features such as high vascularity and bone remodeling. The findings emphasize the need for careful diagnostic and therapeutic approaches to effectively manage such cases and differentiate them from more aggressive pathologies.

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Section: Discussionmentioning

confidence: 99%

“…Treatment for sphenoid sinus hemangioma often requires surgical intervention, particularly when symptomatic. Previous reports have predominantly reported undergoing endoscopic endonasal surgery [ 1 , 6 , 12 , 13 , 15 ]. Recurrence after excision is uncommon, and the prognosis is generally favorable.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Sphenoid Sinus Hemangioma With Intrasellar and Cavernous Sinus Extension

Fujii,

Yokoyama,

Tanaka

et al. 2024

Cureus

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“…Contrastingly, in cases of several nasal polyposis, including those with ocular involvement, bone erosion and destruction are most frequently seen with respect to changes in bone anatomy [ 9 ]. Chronic remodeling of the ethmoid bone has been described in venous malformations [ 10 ], however, cases of nasal polyps leading to bone malformation are significantly underrepresented in the literature. CT imaging proved the most valuable diagnostic tool in examining the extent of the proptosis secondary to polyposis, as well as describing the changes in the ethmoid labyrinth structure.…”

Section: Discussionmentioning

confidence: 99%

Ethmoid malformation associated with pediatric nasal polyposis and allergic fungal sinusitis

Hanson

Proctor

2017

Journal of Surgical Case Reports

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A 17-year-old female with allergic fungal sinusitis and nasal polyposis presented with epistaxis in the emergency room. On examination, right-sided proptosis and irregular nasal obstruction were observed in the right nasal cavity. CT imaging revealed massive right-sided polyposis and significant ipsilateral malformation with boney architecture preservation of the ethmoidal labyrinth and lamina papyracea. The patient was treated surgically with symptomatic improvement. These findings indicate a unique malformation of the ethmoid while the patient was in development. To the authors’ knowledge, this anatomical malformation has not been previously described in the literature. Physicians should implement diagnostic procedures early if nasal polyposis and allergic fungal sinusitis is suspected in pediatric patients, especially with periocular involvement, to mitigate the risk of boney malformations of the sinuses.

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“…Depending on their extent, these can be focal, multifocal, or diffuse 842 . Approximately 40% of VMs occur in the head and neck and are commonly associated with muscles or involve the mucosal lining 843 . Histologically, they are composed of aberrant thin‐walled veins that exhibit progressive ectasia over time 844 .…”

Section: Benign Vascular Neoplasms and Lesionsmentioning

confidence: 99%

“…Published literature on nasal VM is restricted to case reports. Only three cases of VM involving the sinuses or nasopharynx have been reported 843,846,847 . Diagnostic imaging can include contrast‐enhanced CT and MRI, as well as consideration of angiography.…”

Section: Benign Vascular Neoplasms and Lesionsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors

Kuan

Wang

Adappa

et al. 2024

Int Forum Allergy Rhinol

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BackgroundSinonasal neoplasms, whether benign and malignant, pose a significant challenge to clinicians and represents a model area for multidisciplinary collaboration in order to optimize patient care. The International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors (ICSNT) aims to summarize the best available evidence and presents 48 thematic and histopathology‐based topics spanning the field.MethodsIn accordance with prior ICAR documents, ICSNT assigned each topic as an Evidence‐Based Review with Recommendations, Evidence‐Based Review, and Literature Review based on level of evidence. An international group of multidisciplinary author teams were assembled for the topic reviews using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses format, and completed sections underwent a thorough and iterative consensus‐building process. The final document underwent rigorous synthesis and review prior to publication.ResultsThe ICNST document consists of 4 major sections: general principles, benign neoplasms and lesions, malignant neoplasms, and quality of life and surveillance. It covers 48 conceptual and/or histopathology‐based topics relevant to sinonasal neoplasms and masses. Topics with a high level of evidence provided specific recommendations, while other areas summarized the current state of evidence. A final section highlights research opportunities and future directions, contributing to advancing knowledge and community intervention.ConclusionAs an embodiment of the multidisciplinary and collaborative model of care in sinonasal neoplasms and masses, ICSNT was designed as a comprehensive, international, and multidisciplinary collaborative endeavor. Its primary objective is to summarize the existing evidence in the field of sinonasal neoplasms and masses.This article is protected by copyright. All rights reserved

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Venous malformation of the ethmoid and sphenoid sinuses

Cited by 5 publications

References 21 publications

A Rare Case of Sphenoid Sinus Hemangioma With Intrasellar and Cavernous Sinus Extension

A Rare Case of Sphenoid Sinus Hemangioma With Intrasellar and Cavernous Sinus Extension

Ethmoid malformation associated with pediatric nasal polyposis and allergic fungal sinusitis

International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors

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