Transpalatine excision of a cavernous hemangioma of the infratemporal fossa.
Hemangiomas of the head and neck region can represent a therapeutic challenge depending on their size, location and symptoms. We report a case of a 40-year-old woman who presented with a 2-cm encapsulated cavernous hemangioma in the infratemporal fossa (ITF). Extensive workup included CT, MRI and angiography. A transoral/transpalatine approach avoiding osteotomy was used for surgical excision. After an unremarkable postoperative course the patient has remained disease-free after a 2-year follow-up period. We suggest this surgical approach as an alternative in carefully selected cases of circumscribed small, benign lesions of the ITF.
Kornfehl
J
J
Department of Otorhinolaryngology, University of Vienna, Austria.
Gstöttner
W
W
Kontrus
M
M
Sedivy
R
R
D000328:Adult; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010160:Palate, Soft / Q000601:surgery*; D012888:Skull Neoplasms / Q000473:pathology / Q000601:surgery*; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed