Pre-surgical Embolization for Nasal Lobular Capillary Hemangioma: A Case Report

Lobular capillary hemangioma (LCH), a benign vascular lesion, is rare in the nasal cavity but can cause significant symptoms such as epistaxis and nasal obstruction. Preoperative embolization is increasingly used to manage hypervascular nasal LCH, reducing intraoperative bleeding and facilitating complete resection. A 37-year-old woman presented with severe left-sided epistaxis. Imaging revealed a hypervascular left nasal mass (35 x 23 x 18 mm) supplied by the left sphenopalatine artery. Preoperative embolization of the sphenopalatine and posterior superior alveolar arteries was performed, followed by endoscopic excision. Histopathology confirmed LCH. The patient recovered well with no recurrence. Preoperative embolization is critical for large, hypervascular nasal LCH, minimizing intraoperative bleeding and improving surgical outcomes. While smaller lesions may not require embolization, its role in managing larger lesions is well-supported. Imaging and histopathology remain essential for diagnosis and planning. Preoperative embolization is a valuable adjunct in managing nasal LCH, particularly for large or hypervascular lesions. This case highlights its efficacy in ensuring safe and complete resection, emphasizing the importance of a multidisciplinary approach.