Aufgrund der möglichen schwerwiegenden Komplikationen bei Blutungen nach Adenotonsillektomie ist eine präoperative Risikominimierung durch Identifizierung von Gerinnungsstörungen sowie die Detektion angeborener Gerinnungsanomalien essentiell.

Due to the possible serious complications of bleeding after adenotonsillectomy, a preoperative minimization of risks by identifying coagulation disorders as well as the detection of congenital blood-clotting anomalies are essential.

Sarcomas count among the very rare malignancies of the orbit. Epithelioid sarcomas typically occur in the subcutaneous tissue of younger patients; an affected orbit constitutes a rarity. Only three cases of this extremely rare disease of the orbit, which is associated with marked aggressiveness and a very poor prognosis, have been analysed in the worldwide current literature. We present a case report together with a literature review. A rapidly progressing painful proptosis with visual loss occurred in a 30-year-old patient. Imaging and invasive diagnostic procedures were initiated as a consequence of this. Diagnostic imaging revealed an infiltrative process of the right orbit. Following endonasal decompression of the orbit and probe acquisition, histological and immunohistochemical tests showed the presence of a proximal type epithelioid sarcoma. Therapy consisted of orbit exenteration together with implantation of titanium miniplates for orbital prosthesis. During the course of disease, osseous metastases developed. The patient died during palliative chemotherapy, 14 months after the initial diagnosis. Epithelioid sarcomas are extremely rare, difficult to treat tumours in the head and neck region. The associated mortality rates are high. Aggressive surgical therapy with intensive follow-up is recommended. The prognosis depends upon the resection status.

Sarkome zählen zu den sehr seltenen Malignomen der Orbita. Epitheloide Sarkome treten typischerweise in der Subkutis bei jüngeren Patienten auf, ein Befall der Orbita stellt eine Rarität dar.

Venous malformations as a cause of space-occupying lesions in the head and neck region are rare, especially at an advanced age. We report on a 74-year-old female patient with a venous malformation of the cheek and its successful surgical treatment.

Venöse Malformationen als Ursache einer Raumforderung im Kopf-Hals-Bereich sind, besonders im fortgeschrittenen Lebensalter, selten. Wir berichten im Folgenden über eine 74-jährige Patientin mit einer venösen Malformation der Wange und die erfolgreiche chirurgische Therapie.