Infraorbital Subcutaneous Intravascular Lobular Capillary Hemangioma After Rhinoplasty. Issue 3 (September 2021)

• Record Type: Journal Article
• Authors: Kaiser, Benedict; Chijioke, Obinna; Bruder, Elisabeth; Takes, Martin; Haug, Martin; Mende, Konrad
• Is Part Of: Annals of plastic surgery. Volume 87:Issue 3(2021)
• Publication Date: 2021-09
• Subjects: subcutaneous intravascular lobular capillary hemangioma -- subcutaneous pyogenic granuloma -- vascular tumors; Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000002954
• Languages: English
• ISSNs: 0148-7043

Abstract

Abstract : Background: Lobular capillary hemangioma (LCH; also referred to as pyogenic granuloma) is a common benign vascular tumor that is characterized by proliferation of capillaries with a lobular architecture. Lobular capillary hemangioma can involve superficial cutaneous, mucosal, or subcutaneous structures; the subcutaneous and intravascular variant is very rare. Methods: A 26-year-old female patient presented with a small infraorbital mass that was slowly growing within the last 6 months. She reported no pain but an uncomfortable feeling of pressure in this area. Six months before symptom onset, the patient had undergone a closed rhinoplasty with osteotomies without any reported complication. Results: An excisional biopsy was performed via a transconjunctival approach, and the histopathological findings were characteristic for a subcutaneous intravascular LCH. At the 3-month follow-up, the patient was asymptomatic with no evidence of a recurrent lesion. Conclusion: To our knowledge, this is the first report of a subcutaneous intravascular LCH after rhinoplasty. We would like to draw the attention of stakeholders to this rare condition and raise awareness among clinicians to what seems to be a late finding after rhinosurgery.