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Case report
An extremely rare and atypical paediatric presentation of a maxillary sinus haemangioma in the UK
  1. Aphrodite Iacovidou1,
  2. Vikas Acharya2,
  3. Devavrata Joshi1 and
  4. Ali Taghi3
  1. 1 ENT Surgery, Imperial College London, London, UK
  2. 2 ENT Surgery, Luton and Dunstable Hospital NHS Trust, Luton, UK
  3. 3 ENT Surgery, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Mr Vikas Acharya, vikas.acharya{at}doctors.org.uk

Abstract

We present a rare and unusual case of a 16-year-old girl, with no significant medical history, presenting with right nasal obstruction and suspected sinusitis with occasional epistaxis and haemoptysis. On examination, she had a mass lesion in the right nasal cavity, with no evidence of other pathology on assessment of the ears, nose, throat or head and neck. A CT scan revealed an opacified right maxillary sinus with polypoidal mucosa, extending and passing through the accessory ostium into the right nasal cavity. Examination under anaesthesia with functional endoscopic sinus surgery and excision of the lesion was subsequently undertaken. Histological analysis confirmed the mass lesion as a haemangioma. This case report is the first to present a maxillary haemangioma presenting as nasal obstruction with intermittent sinusitis symptoms in a child. The authors discuss the incidence, presentation and management of maxillary haemangiomas in the paediatric population.

  • ear, nose and throat
  • nasal polyps
  • ear, nose and throat/otolaryngology
  • headache (including migraines)
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Footnotes

  • Contributors All authors were involved in the care of the patient, contributed to the creation and completion and proofreading of the manuscript and are happy for submission. VA and AI were involved in writing the case report and proofreading, undertaking and streamlining the literature review and preparing the manuscript for submission including making changes for the revised manuscript. DJ and AT were both involved in the primary operation for the patient, were involved in assisting with the writing of the manuscript and proofreading, in addition to assisting with images and figures and their descriptions for the manuscript. They also reviewed the revised manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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