대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제25권4호
  • /
  • Pages.187-191
  • /
  • 2024
  • /
  • 2287-1152(pISSN)
  • /
  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
권호 표지
DOI QR코드

DOI QR Code

Intraosseous vascular malformation of the skull: a case report and literature review

  • Donghyun Lee (Department of Plastic and Reconstructive Surgery, Hallym University Kangdong Sacred Heart Hospital) ;
  • Chul Hoon Chung (Department of Plastic and Reconstructive Surgery, Hallym University Kangdong Sacred Heart Hospital) ;
  • Seong Jin Cho (Department of Pathology, Hallym University Kangdong Sacred Heart Hospital)
  • 투고 : 2023.11.03
  • 심사 : 2024.02.21
  • 발행 : 2024.08.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 59-year-old woman presented to our clinic with a 3.5×3-cm protruding mass on her forehead. A skull X-ray revealed a radiolucent osteolytic lesion on the left side of the frontal bone. Additionally, computed tomography showed a 3.1×1.7×3.6-cm mass exhibiting a "sunburst" pattern situated between the outer and inner tables of the skull, just superior and lateral to the left frontal sinus. This pattern suggested the presence of an intraosseous vascular malformation (IVM). The lesion was approached via a bicoronal incision. En-bloc resection was performed, removing the mass along with approximately 0.5 cm of the surrounding normal bone without injury to the exposed frontal sinus mucosa. The exposed mucosa was reinforced with a galeal flap, and cranioplasty with bone cement was performed to repair the resulting bony defect. Pathological examination confirmed a diagnosis of intraosseous cavernous-type malformation with mixed cavernous and capillary histological features. We report this case of IVM and review the existing literature, highlighting the satisfactory functional and aesthetic outcomes after surgery.

키워드

참고문헌

  1. Heckl S, Aschoff A, Kunze S. Cavernomas of the skull: review of the literature 1975-2000. Neurosurg Rev 2002;25:56-67. 
  2. Toynbee J. An account of two vascular tumors developed in the substance of bone. Lancet 1845;2:676. 
  3. Pilcher LS. V. Venous tumor of the diploe. Ann Surg 1894;20:165-7. 
  4. Wang C, Zhang D, Wang S, Zhang Y, Wang R, Zhao J. Intraosseous cavernous malformations of the skull: clinical characteristics and long-term surgical outcomes. Neurosurg Rev 2020;43:231-9. 
  5. Vargel I, Cil BE, Er N, Ruacan S, Akarsu AN, Erk Y. Hereditary intraosseous vascular malformation of the craniofacial region: an apparently novel disorder. Am J Med Genet 2002;109:22-35. 
  6. Yu J, Li Y, Duan X. Posttraumatic cavernous hemangioma of the skull. J Craniofac Surg 2014;25:e48-51. 
  7. Chatterji P, Sharma ML, Chatterji S, Kanwar DL. Cavernous haemangioma of fronto-ethmoid region. J Laryngol Otol 1969;83:925-33. 
  8. Yoshida D, Sugisaki Y, Shimura T, Teramoto A. Cavernous hemangioma of the skull in a neonate. Childs Nerv Syst 1999;15:351-3. 
  9. Sharma RR, Pawar SJ, Lad SD, Netalkar AS, Musa MM. Frontal intraosseous cryptic hemangioma presenting with supraorbital neuralgia. Clin Neurol Neurosurg 1999;101:215-9. 
  10. Park BH, Hwang E, Kim CH. Primary intraosseous hemangioma in the frontal bone. Arch Plast Surg 2013;40:283-5. 
  11. Hishiyama J, Isago T, Ito H. Intraosseous hemangioma of the zygomatic bone. JPRAS Open 2015;6:5-10. 
  12. Garcia-Marin V, Ravina J, Trujillo E, Gonzalez-Feria L. Symptomatic cavernous hemangioma of the occipital condyle treated with methacrylate embolization. Surg Neurol 2001;56:301-3. 
  13. Naama O, Gazzaz M, Akhaddar A, Belhachmi A, Asri A, Elmostarchid B, et al. Cavernous hemangioma of the skull: 3 case reports. Surg Neurol 2008;70:654-9. 
  14. Oliver JD, Banuelos J, Abu-Ghname A, Vyas KS, Sharaf B. Alloplastic cranioplasty reconstruction: a systematic review comparing outcomes with titanium mesh, polymethyl methacrylate, polyether ether ketone, and Norian implants in 3591 adult patients. Ann Plast Surg 2019;82:S289-94. 
  15. Wang JS, Ter Louw RP, DeFazio MV, McGrail KM, Evans KK. Subtotal calvarial vault reconstruction utilizing a customized polyetheretherketone (PEEK) implant with chimeric microvascular soft tissue coverage in a patient with syndrome of the trephined: a case report. Arch Plast Surg 2019;46:365-70. 
  16. Moon SJ, Jeon HB, Kim EH, Lew DH, Kim YO, Hong JW. Staged reconstruction of a chronically infected large skull defect using free tissue transfer and a patient-specific polyetheretherketone implant. Arch Craniofac Surg 2020;21:309-14. 
  17. Lee JC, Kleiber GM, Pelletier AT, Reid RR, Gottlieb LJ. Autologous immediate cranioplasty with vascularized bone in highrisk composite cranial defects. Plast Reconstr Surg 2013;132:967-75. 
  18. Choi JH, Roh TS, Lee WJ, Baek W. Cranioplasty and temporal hollowing correction with a three-dimensional printed bioresorbable mesh and double vertical suture anchor muscle sling: a case report. Arch Craniofac Surg 2022;23:178-82.