Large Orbital Cavernous Hemangioma: A Case Report

안와에 발생한 거대 해면상 혈관종 증례보고

  • Bae, Sang Mo (Department of Plastic and Reconstructive Surgery, Inje University School of Medicine) ;
  • Jung, Jae Hak (Department of Plastic and Reconstructive Surgery, Inje University School of Medicine) ;
  • Kim, Young Hwan (Department of Plastic and Reconstructive Surgery, Inje University School of Medicine) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Inje University School of Medicine)
  • 배상모 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 정재학 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김영환 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 선욱 (인제대학교 의과대학 부산백병원 성형외과학교실)
  • Received : 2006.01.24
  • Published : 2006.05.10

Abstract

Hemangioma is one of the most common congenital tumors in the region of the face and neck. Although histologically benign, these facial masses are clinically malignant for their deforming and inexorable growth, especially in so-called 'cavernous hemangioma'. Carvenous hemangioma is the most common primary tumor occurring in the adult orbit. This tumor has symptoms that characteristically develop over several years with slowly progressive proptosis, eyeball deviation, hyperopia, diplopia and optic nerve compression. Today, hemangiomas are being treated by various methods; steroids, electrocoagulation, injection of sclerosing agent, cryotherapy, radiation therapy, laser therapy, and surgical treatment, etc. In principle, surgical approaches to the orbit must provide maximum safety and optimal visualization. We have experienced a case of large cavernous hemangioma in the orbit inferolaterally. The surgical treatment of tumor was achieved by the bicoronal approach combined with inferomedial and inferolateral orbitotomy. This surgical approach allows better visualization of the tumor and greater protection of essential anatomic structures. We obtained satisfactory results in terms of aesthetic and functional consideration. We present our case with a brief review of the literature related to orbital cavernous hemangioma.

Keywords

References

  1. Harris GJ, Jakobiec FA: Cavernous hemangiomas of the orbit. J Neurosurg 51: 219, 1979 https://doi.org/10.3171/jns.1979.51.2.0219
  2. Ruchman MC, Flanagan J: Cavernous hemangiomas of the orbit. Opthalmology 90: 1328, 1983 https://doi.org/10.1016/S0161-6420(83)34385-2
  3. Warner M, Suan JY, Dinehart S: Treatment of Hemangiomas of the head and neck. Laryngoscope 102: 1123, 1992 https://doi.org/10.1288/00005537-199210000-00007
  4. Kennerdell JS, Maroon JC, Malton ML: Surgical approaches to orbital tumors. Clin Plast Surg 15: 273, 1988
  5. Leone CR Jr, Wissinger JP: Surgical approaches to diseases of the orbital apex. Opthalmology 95: 391, 1988 https://doi.org/10.1016/S0161-6420(88)33174-X
  6. Rosen HM: Treatment of malignant cranio-orbital tumors. Clin Plast Surg 14: 137, 1987
  7. Mohr C, Schettler D, Heesen J: The surgical approach to orbital space-occupying lesions. J Craniomaxillofac Surg 17: 149, 1989 https://doi.org/10.1016/S1010-5182(89)80013-7