Maxillary sinus

Endoscopic view of ostial polyps of the maxillary sinus

June 11, 2013     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; and Eiji Yanagisawa, MD, FACS
article

Ostial polys in the maxillary sinus can cause recurring maxillary sinus disease by obstructing the ethmoid infundibulum and natural ostium of the maxillary sinus.

Relief from cluster headaches following extraction of an ipsilateral infected tooth

June 11, 2013     Matthew R. Hoffman, PhD; and Timothy M. McCulloch, MD
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Abstract

A 60-year-old man with a 7-year history of cluster headaches was seen by an oral surgeon for evaluation of pain in the left upper second molar ipsilateral to the side affected by the headaches. During extraction of the tooth, infection, decay, and inflammation were discovered. Since the extraction in November 2008, the patient has experienced one episode of cluster headaches as of April 2013.

Carcinoma ex pleomorphic adenoma of the maxillary sinus: A case report

December 31, 2012     Suja Sreedharan, MS; Kishore Chandra Prasad, MS, FACS; Mahesh Chandra Hegde, MS; Kausalya Sahoo, MS; and Arathi Alva, MS
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Abstract

A 52-year-old woman presented to the ENT clinic with a huge swelling on the right side of her face that had originated 6 years earlier. The mass was ultimately diagnosed as a carcinoma ex pleomorphic adenoma of the maxillary sinus. Carcinoma ex pleomorphic adenoma itself is uncommon, and its origin in the maxillary sinus is very rare. We discuss the presentation, histopathologic picture, and management of this case.

Bilateral silent sinus syndrome

December 31, 2012     Jeffrey D. Suh, MD; Vijay Ramakrishnan, MD; Jennifer Y. Lee, MD; Alexander G. Chiu, MD
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Abstract

Silent sinus syndrome is a rare clinical entity associated with progressive enophthalmos, collapse of the maxillary sinus, and hypoglobus. We report a case of bilateral silent sinus syndrome in a 29-year-old man. Representative radiographic and intraoperative images are presented. The purpose of this article is to illustrate a new presentation of the disease and to review the current diagnostic and treatment modalities.

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
article

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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