Open AccessResection of a Large Cavernous Hemangioma Following Preoperative Embolization in a Child’s Temporal Bone
Author(s) -
Yosaku Torii,
Makoto Hosoya,
Natsuki Hasebe,
Shigeki Ogawa,
Takahiro Akiyama,
Naoki Oishi,
Kaoru Ogawa
Publication year - 2021
Publication title -
the journal of international advanced otology/the journal of international advanced otology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.518
H-Index - 13
eISSN - 2148-3817
pISSN - 1308-7649
DOI - 10.5152/iao.2021.8755
Subject(s) - medicine , embolization , temporal bone , hemangioma , radiology , surgery , angiography , biopsy , superficial temporal artery , middle cerebral artery , ischemia , cardiology
Primary intraosseous cavernous hemangiomas (PICHs) in the temporal bone are very rare. Most treated cases are in adult patients, and there are very few reports involving children. To our knowledge, no cases reported have ever actually adopted embolization in children, although several reports recommend preoperative embolization of the feeding arteries. Here, we present a case of a child with a large cavernous hemangioma developing in the temporal bone. The patient was an 11-year-old girl whose chief complaints were hearing loss, aural fullness, and otalgia. Based on imaging, a lymphoma was initially suspected, but extensive arterial bleeding occurred during biopsy under local anesthesia. Angiography was performed to evaluate the blood flow in the tumor, and revealed the middle meningeal artery as a main feeding artery to the tumor. A huge PICH at the temporal bone was successfully resected following preoperative embolization of the feeding artery.