Maxillary sinus

Chromobacterium violaceum necrotizing fasciitis: A case report and review of the literature

October 31, 2012     Jonathan K. Seigel, MD; Michael E. Stadler, MD; Jennifer L. Lombrano, DDS; Jeffrey S. Almony, MD, DDS; Marion E. Couch, MD, PhD; and Thomas H. Belhorn, MD, PhD
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Abstract

Necrotizing fasciitis is a severe, rapidly progressive infection of the subcutaneous tissue that causes significant destruction. It is rarely encountered in the pediatric population. We describe the case of a 14-year-old boy who was diagnosed with Chromobacterium violaceum necrotizing fasciitis and subsequently found to have autosomal recessive chronic granulomatous disease.

Endoscopic view of bilateral maxillary sinus cysts removed with a powered instrument

September 7, 2012     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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Powered instrumentation is a good choice for the removal of maxillary sinus lesions. It is efficient and safe and preserves normal sinus mucosa.

Endoscopic view of secretion transport in the maxillary sinus following a long-term inferior meatal antrostomy

August 10, 2012     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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It is important to remove any obstruction of the natural ostium of the maxillary sinus or the ethmoid infundibulum because maxillary sinus secretions will be transported toward the natural ostium even when a previously placed large and patent inferior meatal antrostomy is present.

Spectrum of paranasal sinus mycoses in coastal India

June 4, 2012     Jyoti R. Kini, MD; Spoorthy S. Shetty, MBBS; Hema Kini, MD
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Abstract

Fungal infections of the nose and paranasal sinuses are uncommon, and the disease they cause can be identified from their histopathologic appearance. The aim of this study was to assess the incidence of fungal infection and histopathologic changes in specimens sent for evaluation of chronic sinusitis and correlate with culture findings wherever possible. The records of 200 consecutive cases coded as paranasal sinuses over a period of 3 years were retrieved from the Department of Pathology, Kasturba Medical College, Mangalore, India. Twenty nine out of a total of 200 specimens (14.5%) were positive for fungal elements on histopathologic examination. The most common etiologic agents in our study were Aspergillus spp (37.9%); only 1 culture (3.4%) was positive for a Candida species. Eight of 29 patients with fungal sinusitis (27.6%) had diabetes, and 1 patient was being treated for rheumatoid arthritis. Eight of the 29 patients had allergic fungal sinusitis, 8 had chronic granulomatous sinusitis, and 1 had acute fulminant invasive sinusitis. Fungi have been increasingly recognized as an important pathogen in chronic sinusitis. It is imperative for patient management not only that paranasal sinus mycoses be diagnosed but also that the specific histologic category be identified.

Endoscopic view of maxillary ostia mimicking a maxillary sinus wall

March 1, 2012     Joseph P. Mirante, MD, FACS, Dewey A. Christmas, MD, and Eiji Yanagisawa, MD, FACS
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A patient presented with what appeared to be a defect in the left medial wall of the maxillary sinus but that was actually two large maxillary ostia with the absence of a left uncinate process. He was successfully treated with functional endoscopic sinus surgery.

Infantile fibrosarcoma of the maxillary sinus: Significant response

March 1, 2012     Enrique Palacios, MD, FACR and Edward C.F. Lam, MD
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Surgical excision with wide margins is the treatment of choice for infantile fibrosarcoma of the maxillary sinus. Chemotherapy can be used for inoperable tumors.

Bilateral solitary maxillary sinus neurofibroma

January 1, 2010     Deb Biswas, MS (ORL), MRCS (Edinburgh), DOHNS (Eng) and Ranjit Mal, FRCS
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Abstract

We present a case of simultaneous bilateral neurofibroma of the maxillary sinuses. To the best of our knowledge, this is the first reported case of solitary neurofibromas arising from maxillary antra bilaterally and independently.

Endoscopic view of secretion transport from a maxillary antrostomy to the nasopharynx

September 30, 2009     Dewey A. Christmas, MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS
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Osseous metaplasia of the maxillary sinus with formation of a well-developed haversian system and bone marrow

August 31, 2009     Suchir Maitra, DLO, DOHNS, Deepak Gupta, FRCS, Miladvic Radojkovic, MD, and Salil Sood, MS
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Abstract

Osteogenesis in the maxillary sinus is a lesser known entity in otolaryngology, although it is put to good therapeutic use by maxillofacial surgeons. We present a case of postoperative osseous metaplasia in the maxillary sinus that led to the formation of mature bone with a well-developed haversian system and bone marrow. Such a finding has not been previously reported as a complication of endoscopic sinus surgery. This case highlights the importance of keeping in mind the possibility of osteogenesis within the maxillary sinus in patients who experience a recurrence of symptoms following sinus surgery.

Ectopic molar in the maxillary sinus precipitating a mucocele: A case report and literature review

July 31, 2009     Jarom F. Lamb, MD, Omar F. Husein, MD, and Adam C. Spiess, MD
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Abstract

Ectopic teeth are rarely found in the maxillary sinus. When they are, they represent an anomaly of odontogenic development that is generally associated with odontogenic cysts, trauma, or idiopathic etiology. Although affected patients are often asymptomatic, documented morbidities include sinus disease that is often refractory to treatment. The diagnosis is usually made by plain-film radiography. Computed tomography is indicated when an ectopic tooth is associated with an antral mass and prior to surgery. Treatment of symptomatic patients and those with an antral mass is surgical, with either a Caldwell-Luc operation or an endoscopic procedure. We describe what we believe is the first reported case of a third molar in the roof of the maxillary sinus associated with a mucocele, and we review the literature.

Maxillary sinus osteitis secondary to a dental implant

December 1, 2008     Joseph P. Mirante, MD, FACS, Dewey A. Christmas, MD, and Eiji Yanagisawa, MD, FACS
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Enophthalmos in silent sinus syndrome

August 31, 2008     Juan Gomez, MD, Fernando Gomez VillafaƱe, MD, and Enrique Palacios, MD, FACR
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