Epidemiological Clinical Profile and Management of Nasal Masses of Vascular Origin: About 10 Cases

Abstract: Vascular tumors of the sinonasal cavities are rarely documented in the literature. They are characterized by a histological diversity. They can be benign or malignant. The most common histologic type is the hemangioma. Their management is not well codified, it has benefited from advances in modern imaging and endoscopic surgery. The objective of the study was to investigate their clinicopathological characteristics, treatment and results. Patients and methods: Observations of 10 vascular tumors of the nasal cavities collected between January 2014 and July 2016 were reviewed retrospectively. Results: The average age was 25.4 years, male dominance was marked with a sex ratio of 4. The epistaxis was the sign main developer (100%). All tumors were benign with predominance of hemangioma (4 cases), followed angiofibroma of the partition (3 cases) and nasopharyngeal fibroma (3 cases). All patients were operated by endonasal in 7 cases / 10 and transfacial track in 3 cases. Embolization was performed in 5 patients; it was of hemangiomas 2 and 3 nasopharyngeal fibroids. No cases of recurrence were noted to date. Conclusion: Vascular tumors of the nasal cavity are difficult to treat, especially when they reach a large volume and at an extension to adjacent areas, making the delicate and bleeding surgical procedure. The use of selective embolization in these cases proves mandatory.