DOI QR코드

DOI QR Code

Removal of an intraosseous hemangioma of the frontal bone through an anterior hairline incision: a case report

  • Myung-Good Kim (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Jeong-Ho Ryu (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Dong Min Lee (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Tae-Seo Park (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Ji-An Choi (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Keun-Cheol Lee (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Song-Hee Han (Department of Pathology, Dong-A University College of Medicine)
  • Received : 2023.03.28
  • Accepted : 2023.06.20
  • Published : 2023.08.20

Abstract

An intraosseous hemangioma of the frontal bone is typically removed via a coronal incision. This procedure, while effective, can be lengthy and may result in complications such as a prominent scar and hair loss. An alternative approach involves a direct incision in the forehead, which leaves a less noticeable scar and allows a quicker recovery. However, in this specific case, the patient declined both coronal surgery and surgery through a direct forehead incision due to cosmetic concerns. Therefore, we proposed an anterior hairline incision. A 35-year-old woman presented with a firm, non-mobile, palpable mass on her right forehead. Preoperative non-contrast computed tomography revealed a heterogeneous osteolytic lesion. We performed an excisional biopsy through the anterior hairline. Postoperative non-contrast computed tomography was conducted 2 and 6 months after surgery. The wound was clean and free of complications, and there was no local recurrence. Partial resection can reduce scarring for patients who are concerned about cosmetic outcomes. However, the potential for recurrence remains a significant concern. We present this case of an anterior hairline incision for a hemangioma located in the forehead, evaluated using serial computed tomography for both preoperative and postoperative imaging.

Keywords

References

  1. Vural M, Acikalin MF, Adapinar B, Atasoy MA. Congenital cavernous hemangioma of the calvaria. Case report. J Neurosurg Pediatr 2009;3:41-5. https://doi.org/10.3171/2008.10.PEDS08161
  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. Liu JK, Burger PC, Harnsberger HR, Couldwell WT. Primary intraosseous skull base cavernous hemangioma: case report. Skull Base 2003;13:219-28. https://doi.org/10.1055/s-2004-817698
  5. 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. https://doi.org/10.1007/s10143-018-1042-1
  6. Zhong W, Li G, Huang S, Chen H, You C. Intradiploic hemangioma with repeated hemorrhage in a child with hemophilia. J Neurosurg Pediatr 2012;10:56-9. https://doi.org/10.3171/2012.3.PEDS11423
  7. Alexiou GA, Lampros M, Gavra MM, Vlachos N, Ydreos J, Boviatsis EJ. Primary intraosseous cavernous hemangioma of the cranium: a systematic review of the literature. World Neurosurg 2022;164:323-9. https://doi.org/10.1016/j.wneu.2022.05.107
  8. Liu H, Chang X, Shang H, Li F, Zhou H, Xue X. Diffuse cavernous hemangioma of the skull misdiagnosed as skull metastasis in breast cancer patient: one case report and literature review. BMC Cancer 2019;19:172.
  9. Gologorsky Y, Shrivastava RK, Panov F, Mascitelli J, Signore AD, Govindaraj S, et al. Primary intraosseous cavernous hemangioma of the clivus: case report and review of the literature. J Neurol Surg Rep 2013;74:17-22. https://doi.org/10.1055/s-0033-1346980
  10. Kim HS, Kim WS, Kim HK, Bae TH. Removal of intraosseous hemangioma in frontal bone under direct vision through a small incision. Arch Craniofac Surg 2021;22:52-5. https://doi.org/10.7181/acfs.2020.00661