Is a hemangioma in the nose dangerous?

Written by Deng Bang Yu
Otolaryngology
Updated on September 04, 2024
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Nasal hemangiomas are primarily caused by congenital or acquired vascular malformations. The risks associated with them include the following points: First, the vessel walls of hemangiomas are imperfect and prone to bleeding. Excessive bleeding can lead to hemorrhagic shock. Furthermore, significant bleeding can cause blood to flow back into the respiratory tract, leading to coughing fits and even the risk of suffocation. Second, although hemangiomas are benign in nature, a few of them possess the biological characteristic of expansive growth. This characteristic can damage surrounding tissues, such as destroying the wall of the vessel and the structure of the tumor, thereby exhibiting malignant-like biological behavior. Therefore, active treatment is necessary.

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Written by Zhou Chen
Oncology
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Can hemangiomas be left untreated?

Hemangiomas on the head and face, and those around the eyes, tend to invade the eyeballs or cause complications such as glaucoma. Hemangiomas in the parotid gland area can compress or damage the facial nerve, leading to facial paralysis. Nasal hemangiomas may block the nasal passages, causing deformities of the nostrils. Lip hemangiomas, due to friction from sucking or eating, are prone to rupture causing deformities of the lip; ear hemangiomas, because of poor blood circulation, are prone to infection after rupture. Hemangiomas on the limbs and body, due to the rapid growth of some, can invade muscle tissue, bones, or joints, causing local pain and, in severe cases, joint deformities and other functional symptoms. Therefore, it is necessary to treat hemangiomas.

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Written by Liu Huan Huan
General Surgery
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The difference between granuloma and hemangioma

Granulomas and hemangiomas are both relatively common in clinical settings, yet they have fundamental differences. A granuloma often refers to the proliferation of macrophages and their derivative cells following inflammation in tissues or organs, forming a nodule known as a granuloma, which is actually caused by the inflammation. Hemangiomas, on the other hand, are usually tumors that form from the proliferation of blood vessel-forming cells during embryonic development, and they have no significant relationship with inflammation. Hemangiomas are also a type of benign tumor, which is the main difference between the two.

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Written by Zhou Chen
Oncology
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How are hemangiomas formed?

The etiology of hemangioma is unknown. Studies have shown that the use of progesterone during pregnancy, undergoing chorionic villus sampling, hypertensive disorders during pregnancy, and low birth weight at the time of birth may be related to the formation of hemangiomas. It is believed that hemangiomas are a result of minor misconfigurations in the control gene segments during the embryonic development process, particularly during the early stages of vascular tissue differentiation. This leads to abnormal tissue differentiation at specific sites, eventually developing into hemangiomas. During the early months of embryonic development, from eight to twelve months, mechanical damage to embryonic tissue and local bleeding can cause some hematopoietic stem cells to be distributed among other embryonic cells, some of which differentiate into vessel-like tissues and ultimately form hemangiomas.

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Written by Zhang Xian Hua
Pediatrics
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Which department should a baby with hemangioma see?

The department for treating infantile hemangioma should be determined based on the location, size, and severity of the hemangioma. If the hemangioma is located on the surface of the body, it is generally appropriate to consult the department of plastic and cosmetic surgery. If the hemangioma is on the face, the oral medicine department should be visited. If the hemangioma is around the eyes, then the ophthalmology department should be consulted. If the hemangioma is internal or if there are other concurrent tumorous diseases, it may be necessary to visit the pediatric hematology-oncology department or the corresponding surgical department. This would be the most appropriate and correct choice.

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Written by Li Chang Yue
General Surgery
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What department should I go to for an eye hemangioma?

Hemangiomas of the eye generally require registration with the ophthalmology department first, but for some special parts of the eye, hemangiomas may affect the brain, so for more complex or difficult-to-diagnose eye hemangiomas, one can also register with the neurosurgery department for further diagnosis or assessment of the condition. Ophthalmology can treat eye hemangiomas through traditional surgical removal, as well as some methods like laser, cryotherapy, and liquid nitrogen, with relatively ideal effects. For deep or severe hemangiomas, a thorough preoperative assessment should be conducted, and then an appropriate treatment method should be chosen for surgical treatment, which generally yields a satisfactory outcome.