Introduction: Lobular capillary hemangiomas (LCH) are acquired benign vascular lesions of the skin and mucous membranes mostly affecting the head and neck region. Involvement of the nasal cavity is extremely rare and can manifest as epistaxis and nasal obstruction.

Case Series: In this case series, we present 50 cases of nasal septal hemangiomas. Epistaxis and nasal obstruction were the principal presenting symptoms. The median age was 32 years, with 33 females and 17 males. Three cases occurred in pregnant women. Nasal endoscopy revealed 43 lesions located on the anterior nasal septum (Kiesselbach's area) and 7 hemangiomas on the posterior part of the septum. CT scans were performed and showed well-defined, enhancing, soft-tissue density lesions without bone erosion. Treatment was surgical, consisting of hemangioma excision and hemostasis. Radiofrequency ablation was performed in 12 cases. Three recurrences were recorded at 12, 20, and 24 months, all of which were successfully re-operated. Histopathological examination confirmed the capillary hemangioma variety.

Conclusion: LCH are rare tumors of the nasal cavity. Treatment of these lesions is surgical with or without pre operative embolization.