TITLE:
Treatment of Organized Hematoma of the Sphenoid Sinus with Pre-Operative Embolization and Endoscopic Resection
AUTHORS:
Prabhat K. Bhama, Diana C. Jordan, Greg E. Davis
KEYWORDS:
Sphenoid Sinus Mass, Organizing Hematoma, Sinus Mass, Chronic Epistaxis
JOURNAL NAME:
Open Journal of Radiology,
Vol.1 No.2,
December
14,
2011
ABSTRACT: The differential diagnosis for expansile masses of the sphenoid sinuses includes both benign and malignant lesions. We herein present a case of a 79-year-old female who presented with chronic epistaxis and an expansile soft tissue mass centered in the sphenoid sinus with erosion of the skull base. Endoscopic resection of the lesion was performed, with histopathological examination revealing organized hematoma. To our knowl- edge, this is the first reported case of sphenoid sinus organizing hematoma treated with pre-operative embolization followed by endoscopic excision.