Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Removal of intraosseous hemangioma in frontal bone under direct vision through a small incision

  • Kim, Hyeon Seok (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kim, Woo Seob (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kim, Han Koo (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Bae, Tae Hui (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital)
  • Received : 2020.11.17
  • Accepted : 2021.02.05
  • Published : 2021.02.20
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Abstract

Complete surgical excision within a margin of normal healthy bone is the treatment of choice for intraosseous hemangioma. A 56-year-old man visited with complaints of a firm, mildly tender, immovable, and palpable mass on the right forehead (size: 1.5×1.5 cm). Non-contrast brain computed tomography performed preoperatively revealed a 1.5 cm heterogenous osteolytic lesion with suspected internal trabeculation in the right frontal bone. Under general anesthesia, a 2 cm transverse incision was made on the forehead skin rather than bicoronal incision. Full-thickness en bloc resection of the frontal bone including the mass was performed. The frontal bone was removed with care taken not to damage the frontal sinus mucosa. The frontal sinus was sealed with a collagen patch (Tachocomb) and a cranioplasty was performed using bone cement. At 6 months postoperative, a clean wound was confirmed without any complications, and there was no local recurrence. Surgical excision of intraosseous hemangioma in the frontal sinus bone can be performed via direct incision or the bicoronal approach. In this case, the direct incision approach was used to achieve smaller scars and faster recovery than the bicoronal approach.

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References

  1. Choi JS, Bae YC, Kang GB, Choi KU. Intraosseous hemangioma of the orbit. Arch Craniofac Surg 2018;19:68-71. https://doi.org/10.7181/acfs.2018.19.1.68
  2. Kim JH, Ahn CH, Kim KH, Oh SH. Multifocal intraosseous calvarial hemangioma misdiagnosed as subgaleal lipoma. Arch Craniofac Surg 2019;20:181-5. https://doi.org/10.7181/acfs.2019.00143
  3. Cheng NC, Lai DM, Hsie MH, Liao SL, Chen YB. Intraosseous hemangiomas of the facial bone. Plast Reconstr Surg 2006;117: 2366-72. https://doi.org/10.1097/01.prs.0000218818.16811.9b
  4. Seo BF, Kang KJ, Jung SN, Byeon JH. Skeletal cavernous hemangiomas of the frontal bone with orbital roof and rim involvement. Arch Craniofac Surg 2018;19:214-7. https://doi.org/10.7181/acfs.2018.01921
  5. Hahn HM, Lee YJ, Park MC, Lee IJ, Kim SM, Park DH. Reduction of closed frontal sinus fractures through suprabrow approach. Arch Craniofac Surg 2017;18:230-7. https://doi.org/10.7181/acfs.2017.18.4.230
  6. Brumm JD, Paul BC, Miller PJ. Evaluation and excision of firm, immobile forehead masses. Am J Cosmet Surg 2015;32: 59-65. https://doi.org/10.5992/AJCS-D-15-00006.1
  7. Balan P, Gogineni SB, Shetty SR, Areekat FK. Radiologic features of intraosseous hemangioma: a diagnostic challenge. Arch Med Health Sci 2014;2:67-70. https://doi.org/10.4103/2321-4848.133823
  8. Park BJ, Lim SY, Park JH, Pyon JK, Mun GH, Bang SI, et al. Intraosseous hemangioma of the zygoma and its management. J Korean Soc Plast Reconstr Surg 2008;35:735-8.
  9. Lee Y, Choi HG, Shin DH, Uhm KI, Kim SH, Kim CK, et al. Subbrow approach as a minimally invasive reduction technique in the management of frontal sinus fractures. Arch Plast Surg 2014;41:679-85. https://doi.org/10.5999/aps.2014.41.6.679
  10. Lotfinia I, Shokouhi G, Salehpoor F, Baboli S, Totongee J. Evaluation of cranialization technique in the treatment of frontal sinus fractures. Med J Islam Repub Iran 2005;19:231-6.
  11. Pollock RA, Hill JL Jr, Davenport DL, Snow DC, Vasconez HC. Cranialization in a cohort of 154 consecutive patients with frontal sinus fractures (1987-2007): review and update of a compelling procedure in the selected patient. Ann Plast Surg 2013;71:54-9. https://doi.org/10.1097/SAP.0b013e3182468198
  12. Kim YW, Lee DH, Cheon YW. Secondary reconstruction of frontal sinus fracture. Arch Craniofac Surg 2016;17:103-10. https://doi.org/10.7181/acfs.2016.17.3.103
  13. Yavuzer R, Sari A, Kelly CP, Tuncer S, Latifoglu O, Celebi MC, et al. Management of frontal sinus fractures. Plast Reconstr Surg 2005;115:79e-93e. https://doi.org/10.1097/01.PRS.0000161988.06847.6A
  14. Oh SY, Choi JS, Lim JS, Kim MC. Eyeball deviation by orbital mucocele after midface sinus injury. Arch Craniofac Surg 2020; 21:53-7. https://doi.org/10.7181/acfs.2019.00605