Papillary hemangioma in a child and sonographic characterization.

Papillary hemangioma (PH) is a rare, benign, vascular tumor that usually appears on the scalp and face and is reported most frequently in adults. We present a pediatric case of PH and provide sonographic features that may assist in establishing the diagnosis.

Hemangioma de la fosa nasal en la infancia / Hemangioma of the nasal fossa in infants

Los hemangiomas en la infancia son los tumores benignos más frecuentes de cabeza y cuello en los niños. La localización intranasal es muy rara. Al obstruir toda la fosa nasal, produce un cuadro de dificultad respiratoria en el período neonatal que obliga a tomar medidas terapéuticas en los primeros meses de vida. Se presenta un paciente que nació con un hemangioma intranasal, se analizan las diferentes opciones terapéuticas y se expone la resolución final del caso, mediante vaporización con láser CO2 (AU)

Hemangiomas in infancy are the most frequent benign tumors of the head and neck in children. However, intranasal location is very rare. By obstructing the entire nasal fossa, it produces a problem of breathing difficulty in the neonatal period, which leads to therapeutic measures being taken in the first months of life. We present a patient who was born with intranasal hemangioma, we study the various therapeutic options and we expose the final resolution of the case, which was vaporization using CO2 laser (AU)

[Hemangioma of the nasal fossa in infants]. / Hemangioma de la fosa nasal en la infancia.

Hemangiomas in infancy are the most frequent benign tumors of the head and neck in children. However, intranasal location is very rare. By obstructing the entire nasal fossa, it produces a problem of breathing difficulty in the neonatal period, which leads to therapeutic measures being taken in the first months of life. We present a patient who was born with intranasal hemangioma, we study the various therapeutic options and we expose the final resolution of the case, which was vaporization using CO(2) laser.

[Post-traumatic haematoma and abscess in the nasal septa of children]. / Hematoma y absceso de tabique nasal postraumático en niño.

Septal haematoma following nasal trauma is a complication that, if not diagnosed and treated early, may evolve into a nasal septal abscess. We present the case of a 10-year-old male who suffered nasal trauma with fracture and an undiagnosed septal haematoma that evolved into a septal abscess. During drainage of the abscess, necrosis of the quadrangular cartilage was noted. The patient later presented collapse of the nasal dorsum and deviation of the nasal septum. This sequela was corrected by means of an osteochondral costal graft. In the presence of any nasal trauma, it is important to explore the nasal septum correctly to discard the presence of a haematoma which, if not drained early, may evolve into an abscess due to compression of the quadrangular cartilage, leading to its necrosis in a few days and later collapse of the nasal dorsum as the child grows.

Hematoma y absceso de tabique nasal postraumático en niño / Post-traumatic haematoma and abscess in the nasal septa of children

El hematoma septal tras traumatismo nasal es una complicación que de no ser diagnosticada y tratada precozmente puede evolucionar a un absceso septal. Presentamos el caso de un varón de 10 años que sufrió traumatismo nasal con fractura de huesos propios y un hematoma septal que no fue diagnosticado, y cuya evolución fue un absceso septal. Durante el drenaje de este absceso se evidenció una necrosis del cartílago cuadrangular. Posteriormente el paciente presentó un hundimiento del dorso nasal y una desviación del tabique nasal. Esta secuela se corrigió mediante la utilización de un injerto osteocondral costal. Ante cualquier traumatismo nasal es importante explorar correctamente el tabique nasal para descartar un hematoma, que si no se drena de forma precoz, puede evolucionar a un absceso por compresión del cartílago cuadrangular, cuyas consecuencias son su necrosis en pocos días y posterior hundimiento del dorso nasal en el curso del desarrollo del niño

Septal haematoma following nasal trauma is a complication that, if not diagnosed and treated early, may evolve into a nasal septal abscess. We present the case of a 10-year-old male who suffered nasal trauma with fracture and an undiagnosed septal haematoma that evolved into a septal abscess. During drainage of the abscess, necrosis of the quadrangular cartilage was noted. The patient later presented collapse of the nasal dorsum and deviation of the nasal septum. This sequela was corrected by means of an osteochondral costal graft. In the presence of any nasal trauma, it is important to explore the nasal septum correctly to discard the presence of a haematoma which, if not drained early, may evolve into an abscess due to compression of the quadrangular cartilage, leading to its necrosis in a few days and later collapse of the nasal dorsum as the child grows