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- Title
Intravascular papillary endothelial hyperplasia of the maxillary sinus extending into the contralateral nasal cavity.
- Authors
Nakamura, Masahiro; Anzai, Takashi; Ishimizu, Erina; Ashikawa, Karin; Inoshita, Ayako; Takata, Yusuke; Matsumoto, Fumihiko
- Abstract
Introduction: Intravascular papillary endothelial hyperplasia (IPEH) predominantly occurs in the subcutaneous and dermal regions and rarely originates from the sinonasal mucosa. Case presentation: We report on the case of a 58-year-old male patient who presented with progressive bilateral nasal obstruction, left-sided epiphora, and intermittent epistaxis. Computed tomography revealed a soft tissue opacity in the left maxillary sinus with intersinusoidal nasal wall demineralization, extending into the surrounding ethmoid cells and the right nasal cavity through a contralateral deviation of the nasal septum. Contrast-enhanced T1-weighted magnetic resonance imaging further confirmed these findings. The IPEH originating from the maxillary sinus extended into the contralateral nasal cavity, and it was successfully removed using an endoscopic endonasal approach, avoiding overly aggressive treatment. Conclusion: This case report highlights the diagnostic challenges of IPEH in the sinonasal region and the importance of considering IPEH as a differential diagnosis in patients presenting with nasal obstruction, epiphora, and intermittent epistaxis.
- Subjects
NASAL cavity; MAXILLARY sinus; CONTRAST-enhanced magnetic resonance imaging; MAXILLARY sinus diseases; PARANASAL sinuses; NASAL mucosa
- Publication
European Archives of Oto-Rhino-Laryngology, 2024, Vol 281, Issue 5, p2749
- ISSN
0937-4477
- Publication type
Case Study
- DOI
10.1007/s00405-024-08499-y