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Pseudo-hemangioma of maxillary sinus

Department of teratogenic deformation. Compressive failure of maxillary sinus bone wall thinning. Headache, visual disturbances, pain and other symptoms, clinical rare, since 1983, treated 21 cases, the line radical maxillary surgery, results were satisfactory. Are as follows. 1 Clinical data of the 21 cases, 13 males, 8 females; the youngest 17 years old, maximum 70 years, average 43 years of age; from the onset of symptoms to treatment time, a minimum of 3 months and a maximum of 12 years. To symptoms more than a bloody nose, epistaxis, and nasal obstruction were associated with unilateral headache, toothache and other symptoms. Clinical examination: 21 patients had nasal polyps sham ipsilateral tumor; part of the necrosis was like, touch and easy bleeding, 7 cases associated with choanal polyp; maxillary sinus area and tenderness, 1 case of loose teeth, x-ray ipsilateral maxillary sinuses density increased. 2 surgical methods and results in the table under anesthesia combined with local anesthesia, the maxillary sinus and nasal surgery in 13 cases, according to radical surgical maxillary sinus,[link widoczny dla zalogowanych], maxillary sinus cavity surgery were found in polyps and necrotic tissue, 2 cases of anterior maxillary changes thin, sinuses filled with old blood clot, necrosis-like polyps, 1 case of cyst, maxillary sinus wall of bone destruction and expansion into the nasal polyp through the destroyed areas. Complete removal of polyps and lesions within the sinuses, nasal polyps removed, the window under the nasal drainage. Simple nasal polyps removed in 3 cases, 1 case of recurrence after 3 times, after maxillary sinus surgery found that there are old blood clots, polyps and cysts, lesions within the sinus scraping thoroughly cured. 5 cases of endoscopic sinus surgery, in endoscopic sinus polyps and remove diseased tissue, removal of nasal polyps, the inferior nasal drainage. Pathology report: necrotic polyps in 5 cases, 12 cases of vascular polyps, mixed polyps in 4 cases. 3 Discussion 3.1 Diagnosis: Hemangioma of the nasal cavity false, rarely reported in the literature, this tumor showed a polypoid appearance,[link widoczny dla zalogowanych], the color pink, some tissue necrosis, touch and easy bleeding. Pedicle from the maxillary sinus, the tumor into the nasal cavity or nose down in the post. Appear stuffy nose, repeated a few nosebleeds, nose and other signs of sepsis of the disease should be considered. N the early diagnosis of the disease more difficult】, combined with a nasal cavity and paranasal sinuses,[link widoczny dla zalogowanych], Qingdao, Shandong Hai Hai Ci Ci Hospital Medical Group (266033) Corresponding author: Mao Cheng deep, chief physician, 0532.83777265 presenting symptoms similar to those of other diseases, many should be identified. 3.1.1 hemangioma: report of 329 cases of domestic literature benign tumors in the nasal cavity and paranasal sinuses, vascular tumors and 91 cases, accounting for 27.7%. Vascular tumor sizes, red or purple, soft and easy bleeding, multiple cavernous hemangioma of natural openings in the vicinity of the maxillary sinus and inferior turbinate Department. Microscopy, shows the composition by the well-differentiated capillaries, thin tube filled with red roar, during which a small amount of connective tissue mass, with occasional small roar of inflammatory infiltration [2】. The hemangioma polyps, stromal vascular rich, often accompanied by bleeding,[link widoczny dla zalogowanych], each vessel alone, there is no proliferation of vascular endothelial cells between the nests of roar like distribution, identification with hemangioma. 3.1.2 nasal cancer: The disease is often misdiagnosed as malignant tumors, therefore, all older, there were unilateral nasal obstruction, recurrent epistaxis or pus and blood of a small nose, nasal dark red mass, easy to touch the bleeding, associated with facial numbness, headache, etc. 3.1.3 should biopsy diagnosis of inverted papilloma of the nasal cavity: its shape, such as multiple polyps, the surface rough, the color pink, the pathological features were epithelial roar papillary anatropous, mainly in the side of the nasal cavity, surgical and easy bleeding, easy to relapse after surgery may have malignant, pathological examination should be identified. 3.1.4 meninges of a nasal encephalocele: meningeal and brain tissue for some congenital defects through the sieve broke into the nasal cavity. The disease usually appear polypoid mass, surface smooth, soft pink, and more at the top of the nose, x-ray examination shows that the wall defects of the skull base. 3.2 pseudo sinus hemangioma treated? Taiwan therapy, surgical removal is currently still the main method. The author believes that this disease by sinus surgery is the best surgical option, so surgical removal of sinuses can be completely stripped of tumor, the group of 13 patients underwent radical maxillary surgery good results. And simple nasal surgery,[link widoczny dla zalogowanych], pedicle lesions came from the maxillary sinus, often leaving because of incomplete resection of tumor recurrence. Where available, we can use endoscopic sinus surgery, but still need to complete removal of the maxillary sinus cavity lesions, to establish a good nasal drainage.