Maxillary sinus

Cavernous hemangioma of the maxillary sinus with bone erosion

August 31, 2007     Erich Mussak, BS; Jerry Lin, MD; Mukesh Prasad, MD, FACS
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Abstract
We report a case of cavernous hemangioma originating in the maxillary sinus. This is an unusual location for hemangioma, and this case also had a rare presentation involving bone erosion. The substantial bone destruction and resultant widening of the right ostiomeatal complex made it difficult to differentiate this cavernous hemangioma from malignant epithelial tumors.

Paranasal sinus melanoma masquerading as chronic sinusitis and nasal polyposis

August 31, 2007     Brian Kung, MD; Geoffrey R. Deschenes, BA; William Keane, MD; Mary Cunnane, MD; Marie-Paule Jacob-Ampuero, MD; Marc Rosen, MD
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Abstract
Malignant melanoma of the nose and paranasal sinuses can be a devastating disease, typically presenting at an advanced stage, with a 5-year survival rate ranging between 20 and 30%. It is an uncommon process, often misdiagnosed both clinically and pathologically. We present the case of an 80-year-old man who had a 2-month history of progressively worsening left-sided epistaxis and nasal obstruction. Radiographic evidence indicated the presence of soft tissue in the left maxillary sinus and nasal cavity resembling massive nasal polyposis and chronic fungal sinusitis. Magnetic resonance imaging was not performed because the patient had a pacemaker. After endoscopic debridement of the soft-tissue mass, frozen-section analysis detected no evidence of tumor. The final pathologic diagnosis was malignant melanoma. Otolaryngologists should be familiar with the difficulties inherent in the diagnosis and management of sinonasal melanomas.

The use of a telescope in sinus balloon dilation

August 31, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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Balloon catheter dilation is being used to help improve paranasal sinus ventilation.1,2 Those who teach the technique emphasize the use of the C-arm fluoroscope and the tactile introduction of a sinus guidewire. This is followed by the insertion of the sinus balloon catheter over the sinus guidewire. The balloon is inflated, deflated, and withdrawn. All of this can usually be accomplished without the use of a sinus telescope. However, we have found that the use of a telescope in addition to fluoroscopy is quite helpful.

Endoscopic view of maxillary fungal sinusitis

July 31, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Solitary fibrous tumor of the maxillary sinus

June 30, 2007     Lorraine M. Smith, MD, MPH, FACS; Ryan F. Osborne, MD, FACS

Cholesteatoma of the maxillary sinus

May 31, 2007     Borlingegowda Viswanatha, MS, DLO; L. Krishna Nayak, MS; Shamanna Karthik, MS
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Radiation-induced osteosarcoma of the maxillary sinus

May 31, 2007     Sofia Avitia, MD; Ryan F. Osborne, MD, FACS

Endoscopic view of a long-term inferior meatal antrostomy

May 31, 2007     Eiji Yanagisawa, MD, FACS; Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS

Endoscopic view of cystic fibrosis with nasal polyposis

April 30, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Dentigerous cyst presenting as orbital proptosis

January 1, 2007     Sofia Avitia, MD; Jason S. Hamilton, MD; Ryan F. Osborne, MD, FACS

Chronic sinonasal aspergillosis with associated mucormycosis

January 1, 2007     Ramandeep S. Virk, MS; Pankaj Arora, MS

Facial sarcoidosis presenting as atypical facial pain

August 31, 2006     Lorraine Smith, MD, MPH, FACS; Ryan F. Osborne, MD, FACS
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