Lobular Capillary Hemangioma of Head and Neck Region: A Retrospective Study in A Tertiary Centre

Volume 4 - Issue 4

Tulachan Bishow¹*, Roshan Acharya² and Paras Poudel³

Received: July 01, 2020;   Published: July 13, 2020

DOI: 10.32474/SJO.2020.04.000194

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Abstract

Background: Lobular capillary hemangiomas (LCH) are uncommon benign vascular entity of unknown etiology. Their prime locations are skin and mucosa of oral cavity, however, the nasal cavity involvement is very rare pertaining to head and neck vascular lesions. Here, we have retrospectively analyzed the confirmed LCH cases including sites, clinical features, radiological findings, treatments, and histological results.

Materials and Methods: A retrospective study carried out in Department of Ear, Nose and Throat and Head and Neck Surgeries (ENT-HNS) of Universal College of Medical Sciences, Tribhuvan University Teaching Hospital (UCMS, TUTH), Bhairahawa, Nepal. All the data of 10 cases (from June 2014 to February 2020) were collected from the OT (operation theatre) register and hospital records section. Data were analyzed for symptoms, possible etiologic factors, demographic profile, CT findings, histopathological features, and treatment modalities.

Results: Unilateral nasal obstruction with nasal mass and intermittent epistaxis (90%) were the chief complaints. Female predominance was favored. In 80% of the patients, the mass was arising from the anterior nasal septum, in 10% from the anterior end of the inferior turbinate and in 10% from the upper lip. GA (general anesthesia) was used in 20% of cases whereas LA (local anesthesia) was used in 80% of the cases. All patients were managed successfully with no recurrence at follow up of 6 months. Conclusion: It is a rare benign vascular entity with slight female predominance. It bears a less morbidity and recurrences on surgical excision but should be differentially diagnosed rightly so as to minimize aggressive management.

Keywords: Capillary hemangioma; nasal cavity; vascular lesion

Abbreviations: LCH: Lobular Capillary Hemangiomas; LA: Local Anesthesia; GA: General Anesthesia; ENT-HNS: Ear, Nose and Throat and Head and Neck Surgeries; OT: Operation Theatre; HPE: Histopathology Evaluation

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| Conflicts of Interest| References|