Research Article

Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience

Volume: 3 Number: 2 August 1, 2020

Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience

Abstract

Objective: Benign vascular lesions are common in the head and neck area, but sinonasal involvement is rare. This study aimed to present the features and surgical outcomes of patients with benign sinonasal vascular lesions in a single institution. Material and Methods: Medical records of 20 patients who underwent surgery for benign sinonasal vascular lesions at the Department of Otolaryngology, Hacettepe University between 2005 and 2020, were retrospectively reviewed. Patients’ demographic characteristics, lesion size and localization, surgical outcomes, and recurrence status were noted. Results: The study group comprised 8 male (40%) and 12 female (60%) patients. Mean age was 41.3±22 years. The main presenting symptoms were epistaxis (60%) and nasal obstruction (30%). The most common sites of origin were the inferior turbinate (35%) and nasal septum (30%), followed by the maxillary sinus (15%). Mean lesion size was 27.1±13.2 mm. Histopathologically, 12 specimens were classified as vascular malformations and 8 as vascular tumors. Mean age was higher among the vascular malformations compared to the vascular tumors (49.9 y vs 28.5 y, p=0.031). All the lesions at the inferior turbinate were vascular malformations (p=0.014). The endoscopic endonasal technique was used in 16 patients (80%) whereas, combined techniques were used in 4 patients (20%). Residue/recurrence rate was 25%. The mean lesion size was larger in patients with residue/recurrence (42 mm vs 22 mm, p=0.001). Conclusion: The endonasal endoscopic technique could be successfully used for the treatment of benign sinonasal vascular lesions. Lesion size was important with regard to residue/recurrence; thus, patients with larger lesions should be followed-up closely in the postoperative period.

Keywords

References

  1. Donnelly LF, Adams DM, Bisset GS, 3rd. Vascular malformations and hemangiomas: A practical approach in a multidisciplinary clinic. AJR Am J Roentgenol 2000; 174: 597-608.
  2. Anomalies ISftSoV. International Society for the Study of Vascular Anomalies Classification for Vascular Anomalies. ISSVA. 2020. Available from: https:// www.issva.org/classification.
  3. Boye E, Yu Y, Paranya G, Mulliken JB, Olsen BR, Bischoff J. Clonality and altered behavior of endothelial cells from hemangiomas. J Clin Invest 2001; 107: 745- 52.
  4. George A, Mani V, Noufal A. Update on the classification of hemangioma. J Oral Maxillofac Pathol 2014; 18: S117-20.
  5. Brahmbhatt AN, Skalski KA, Bhatt AA. Vascular lesions of the head and neck: An update on classification and imaging review. Insights Imaging 2020; 11: 19.
  6. Batsakis JG. Tumors of the Head and Neck: Clinical and Pathological Considerations. 2nd ed. Baltimore: Williams & Wilkins; 1979.
  7. Smith SC, Patel RM, Lucas DR, McHugh JB. Sinonasal lobular capillary hemangioma: A clinicopathologic study of 34 cases characterizing potential for local recurrence. Head Neck Pathol 2013; 7: 129-34.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Publication Date

August 1, 2020

Submission Date

April 30, 2020

Acceptance Date

July 2, 2020

Published in Issue

Year 2020 Volume: 3 Number: 2

APA
Pamuk, A. E., Kaplan Kılıç, B., Özer, S., & Süslü, A. E. (2020). Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience. European Journal of Rhinology and Allergy, 3(2), 29-33. https://doi.org/10.5152/ejra.2020.296
AMA
1.Pamuk AE, Kaplan Kılıç B, Özer S, Süslü AE. Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience. Eur J Rhinol Allergy. 2020;3(2):29-33. doi:10.5152/ejra.2020.296
Chicago
Pamuk, Ahmet Erim, Büşra Kaplan Kılıç, Serdar Özer, and Ahmet Emre Süslü. 2020. “Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience”. European Journal of Rhinology and Allergy 3 (2): 29-33. https://doi.org/10.5152/ejra.2020.296.
EndNote
Pamuk AE, Kaplan Kılıç B, Özer S, Süslü AE (August 1, 2020) Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience. European Journal of Rhinology and Allergy 3 2 29–33.
IEEE
[1]A. E. Pamuk, B. Kaplan Kılıç, S. Özer, and A. E. Süslü, “Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience”, Eur J Rhinol Allergy, vol. 3, no. 2, pp. 29–33, Aug. 2020, doi: 10.5152/ejra.2020.296.
ISNAD
Pamuk, Ahmet Erim - Kaplan Kılıç, Büşra - Özer, Serdar - Süslü, Ahmet Emre. “Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience”. European Journal of Rhinology and Allergy 3/2 (August 1, 2020): 29-33. https://doi.org/10.5152/ejra.2020.296.
JAMA
1.Pamuk AE, Kaplan Kılıç B, Özer S, Süslü AE. Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience. Eur J Rhinol Allergy. 2020;3:29–33.
MLA
Pamuk, Ahmet Erim, et al. “Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience”. European Journal of Rhinology and Allergy, vol. 3, no. 2, Aug. 2020, pp. 29-33, doi:10.5152/ejra.2020.296.
Vancouver
1.Ahmet Erim Pamuk, Büşra Kaplan Kılıç, Serdar Özer, Ahmet Emre Süslü. Surgical Treatment of Benign Sinonasal Vascular Lesions: Hacettepe ENT Experience. Eur J Rhinol Allergy. 2020 Aug. 1;3(2):29-33. doi:10.5152/ejra.2020.296

You can find the current version of the Instructions to Authors at: https://www.eurjrhinol.org/en/instructions-to-authors-104

Starting on 2020, all content published in the journal is licensed under the Creative Commons Attribution-NonCommercial (CC BY-NC) 4.0 International
License which allows third parties to use the content for non-commercial purposes as long as they give credit to the original work. This license
allows for the content to be shared and adapted for non-commercial purposes, promoting the dissemination and use of the research published in
the journal.
The content published before 2020 was licensed under a traditional copyright, but the archive is still available for free access.