Abstract
Introduction
Intraosseous hemangioma, especially in the zygomatic area, is a very rare pathologic condition among the osseous tumors of the head and neck area. Clinical presentation includes a painless mass with progressive growth and hard consistence. Diagnosis is performed by means of computed tomography (CT). Treatment includes radical en bloc surgical excision with healthy bone margins in order to avoid blood loss. Previous embolization is not necessary. Bony defect reconstruction must be performed to avoid secondary deformities.
Case report
We present a case report of a 30-year-old female presenting a progressive painless swelling in the malar and zygomatic regions. CT scan demonstrated a right zygomatic lesion that extended into the orbital floor and lateral orbital wall, affecting also the zygomatic arch. The biopsy revealed an intraosseous hemangioma. Treatment was performed including an en bloc resection with healthy bony margins and primary reconstruction with calvarian bone graft in association with galea–pericranium flap.
Similar content being viewed by others
References
Dahlin D (1996) Benign vascular tumors. In: Dahlin D (ed) Bone tumors. KK Unni Eds. Springfield, IL, pp 307–316
Konior RJ, Kelley TF, Hemmer D (1999) Intraosseous zygomatic hemangioma. Otolaryngol Head Neck Surg 121:122–125
Cuesta Gil M, Navarro-Vila C (1992) Intraosseous hemangioma of the zygomatic bone. A case report. Int J Oral Maxillofac Surg 21:287–291
Marshak G (1980) Hemangioma of the zygomatic bone. Arch Otolaryngol 106:581–582
Koybasi S, Saydam L, Kutluay L (2003) Intraosseous hemangioma of the zygoma. Am J Otolaryngol 24:194–197
de Ponte FS, Bottini DJ, Valentini V (1994) Surgical treatment of hemangioma of bones of the orbitozygomatic region. Minerva Stomatol 43:365–372
Hirano S, Shoji K, Kojima H, Omori K (1997) Use of hydroxyapatite for reconstruction after surgical removal of intraosseous hemangioma of the zygomatic bone. Plast Reconstr Surg 100:86–90
Leibovitch I, Dray JP, Leibovitch L, Brazowsky E (2003) Primary intraosseous hemangioma of the zygomatic bone. Plast Reconstr Surg 111:519–521
Moore SL, Chun JK, Mitre SA, Som PM (2001) Intraosseous hemangioma of the zygoma: CT and MR findings. Am J Neuroradiol 22:1383–1385
Sary A, Yavuzer R, Latfoglu O, Celebi MC (2001) Intraosseous zygomatic hemangioma. Ann Plast Surg 46:659–660
Zucker JJ, Levine MR, Chu A (1989) Primary intraosseous hemangioma of the orbit. Report of a case and review of literature. Ophthal Plast Reconstr Surg 5:247–255
Powel NB, Riley RW (1989) Facial contouring with outer table calvarian bone. Arch Otolaryngol Head Neck Surg 115:1454–1458
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gómez, E., González, T., Arias, J. et al. Three-dimensional reconstruction after removal of zygomatic intraosseous hemangioma. Oral Maxillofac Surg 12, 159–162 (2008). https://doi.org/10.1007/s10006-008-0115-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-008-0115-7