OJRad  Vol.1 No.2 , December 2011
Treatment of Organized Hematoma of the Sphenoid Sinus with Pre-Operative Embolization and Endoscopic Resection
ABSTRACT
The differential diagnosis for expansile masses of the sphenoid sinuses includes both benign and malignant lesions. We herein present a case of a 79-year-old female who presented with chronic epistaxis and an expansile soft tissue mass centered in the sphenoid sinus with erosion of the skull base. Endoscopic resection of the lesion was performed, with histopathological examination revealing organized hematoma. To our knowl- edge, this is the first reported case of sphenoid sinus organizing hematoma treated with pre-operative embolization followed by endoscopic excision.

Cite this paper
Bhama, P. , Jordan, D. and Davis, G. (2011) Treatment of Organized Hematoma of the Sphenoid Sinus with Pre-Operative Embolization and Endoscopic Resection. Open Journal of Radiology, 1, 45-49. doi: 10.4236/ojrad.2011.12007.
References
[1]   B. Lee, H. Park and S. Heo, “Organized Hematoma of the Maxillary Sinus,” Acta Oto-Laryngologica, Vol. 123, No. 7, 2003, pp. 869-872. doi:10.1080/00016480310002492

[2]   M. A. Salam and E. Whitehead, “Large Maxillary Antral Mucocele Presenting with Facial Asymmetry,” The Journal of Laryngology and Otology, Vol. 107, No. 5, 1993, pp. 451-452. doi:10.1017/S0022215100123412

[3]   T. Nakagawa, Y. Kawai, T. Sakamoto and J. Ito, “Organised Haematoma of the Sphenoid Sinus Mimicking a Pituitary Tumour,” The Journal of Laryngology and Otology, Vol. 124, No. 1, 2010, pp. 83-85. doi:10.1017/S002221510900574X

[4]   G. Omura, K. Watanabe, Y. Fujishiro, Y. Ebihara, K. Na- kao and T. Asakage, “Organized Hematoma in the Paranasal Sinus and Nasal Cavity—Imaging Diagnosis and Pathological Findings,” Auris Nasus Larynx, Vol. 37, No. 2, 2010, pp. 173-177. doi:10.1016/j.anl.2009.06.009

[5]   H. Lee, W. Smoker, B. Lee, S. Kim and K. Cho, “Organized Hematoma of the Maxillary Sinus: CT Findings,” American Journal of Roentgenology, Vol. 188, No. 4, 2007, pp. 370-373. doi:10.2214/AJR.05.1479

[6]   E. Kim, H. Kim, S. Chung, et al., “Sinonasal Organized Hematoma: CT and MR Imaging Findings,” American Journal of Neuroradiology, Vol. 29, No. 6, 2008, pp. 1204- 1208. doi:10.3174/ajnr.A1042

 
 
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