We describe an unusual case of intraosseous hemangioma of the vomer. T
he lesion had a characteristic radiographic appearance, especially on
the computed tomographic scan. The two most interesting points in this
case were the rarity as a site for the occurrence of hemangioma and t
he successful extirpation of the tumor via the Le Fort I osteotomy app
roach without embolization of the feeding vessels. The benefits of thi
s approach included the wide surgical field afforded deep in the midfa
ce region, which was important for controlling bleeding, as well as th
e complete extirpation of the tumor.