Korean Journal of Otolaryngology - Head and Neck Surgery  2012;55(8):521-526

doi:10.3342/kjorl-hns.2012.55.8.521

A Case of Cavernous Hemangioma in the Parapharyngeal Space as a Neurogenic Tumor.

Ji Eun CHOI 1 ; Yang Sun CHO

Affiliations

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Keywords

Cavernous; Hemangioma; Parapharyngeal space

Country

Republic of Korea

Language

Korean

Abstract

Hemangiomas are the most common benign neoplasms, which frequently involve the region of head and neck. However, cavernous hemangiomas are extremely rare in the parapharyngeal space and there has been only a few case reports regarding the disease found in this region. Recently, we experienced a 57-year-old female patient with cavernous hemangioma involving the infratemporal fossa and parapharyngeal space. This case was surgically managed using the infratemporal fossa approach type B. Preoperatively, it was difficult to differentiate the mass of cavernous hemangioma from a neurogenic tumor and this led to a massive bleeding during the operawtion. The preoperative decision-making process and the role of diagnostic imaging were discussed with literature reviews.