Pneumosinus dilatans of the maxillary sinus: a case report and review of the literature

2011 ◽  
Vol 40 (10) ◽  
pp. e29
Author(s):  
L.G. Patrocinio ◽  
T.G. Patrocinio ◽  
M.M. Naves ◽  
C.V. Pereira ◽  
D.R. Parreira
2019 ◽  
Vol 12 ◽  
pp. 117955061882514 ◽  
Author(s):  
Abdullah A Alatar ◽  
Yazeed A AlSuliman ◽  
Maha S Alrajhi ◽  
Fahad S Alfawwaz

Background: Pneumosinus dilatans (PSD) is a rare pathological paranasal sinus expansion. This condition is usually symptomatic or cosmetically apparent, requiring surgical intervention. Multiple hypotheses have been postulated as to the cause of this condition; however, the precise cause and pathogenesis remain obscure. Case report and Methods: An 11-year-old boy presented with right eye bulging and was subsequently found to have PSD of the maxillary sinus. A search was conducted of the PubMed electronic database, using the keywords “pneumosinus dilatans,” “pneum(oco)ele,” “pneum(oc)ele,” “pneum(atoco)ele,” and “air cyst.” Articles published in English were reviewed. Results: The literature review identified 29 cases of PSD involving the maxillary sinus. The mean age of presentation was 25 years old. Only the right maxillary sinus was affected in 16 cases, followed by the bilateral sinuses in 7 cases and the left sinus in 6 cases. In 5 cases, all paranasal sinuses, along with the maxillary sinus, were expanded. The most common presenting symptom was facial swelling, which was found in 55% of the cases, followed by proptosis and pain. Computed tomography is the gold standard radiological method for diagnosing PSD. Conclusions: Pneumosinus dilatans is a rare condition that is usually symptomatic and requires surgical intervention. The etiology of the disease is attributed to multiple hypotheses, but more studies are needed to explore this condition further.


2003 ◽  
Vol 260 (7) ◽  
pp. 386-389 ◽  
Author(s):  
Matteo Trimarchi ◽  
Davide Lombardi ◽  
Davide Tomenzoli ◽  
Davide Farina ◽  
Piero Nicolai

2006 ◽  
Vol 263 (7) ◽  
pp. 695-698 ◽  
Author(s):  
G. Fyrmpas ◽  
J. Constantinidis ◽  
D. Televantou ◽  
I. Konstantinidis ◽  
J. Daniilidis

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
José Alcides Arruda ◽  
Pedro Silva ◽  
Luciano Silva ◽  
Pâmella Álvares ◽  
Leni Silva ◽  
...  

The canalis sinuosus is a neurovascular canal, a branch of nerve of infraorbital canal, through which the anterior superior alveolar nerve passes and then leans medially in course between the nasal cavity and the maxillary sinus, reaching the premaxilla in the canine and incisor region. The purpose of this article is to report a case with the presence of canalis sinuosus, in order to alert and guide professionals and discuss the morphology of this anatomical variation avoiding trans- and postsurgical disorders in dental implants. A 51-year-old female was attended to in a radiology clinic, reporting paresthesia in the right upper lip region and painful symptomatology after the installation of an implant in the corresponding region. The case revealed the presence of canalis sinuosus in imaging exams. The knowledge of this anatomical variation is essential for professionals, because attention to this region prevents irreversible damage. Therefore, the use of imaging examinations is recommended during the planning stages and treatment and after surgery in patients undergoing surgery in this area.


2011 ◽  
Vol 126 (1) ◽  
pp. 88-93 ◽  
Author(s):  
B M Teh ◽  
C Hall ◽  
S W Chan

AbstractBackground:Pathological paranasal sinus expansion secondary to air is uncommon. However, this condition may be symptomatic or cosmetically apparent, requiring surgical intervention. Various terms have been used to describe this condition, and nomenclature is controversial.Method:An 18-year-old man presented with right facial pain, and was subsequently found to have pneumosinus dilatans of the maxillary sinus. A search was conducted of the PubMed, Medline and Embase databases, using the key words ‘pneumosinus dilatans’, ‘pneumoc(o)ele’, ‘pneumatoc(o)ele’ and ‘maxillary sinus’. Articles were also hand-searched. Relevant articles published in English were reviewed.Results:The literature review identified 36 cases involving the maxillary sinus (including the present case), with 19 cases reported as pneumosinus dilatans, 12 as pneumocoeles, two as pneumatocoeles, two as pneumosinus dilatans multiplex and one as an air cyst. However, based on the strict classification described by Urken et al., the majority of these cases should be reclassified as pneumocoeles.Conclusion:Whilst the nomenclature of this pathology is confusing, distinctions of terminology do not alter the management. Hence, we support the use of the term ‘air cyst’, to incorporate all these lesions.


Head & Neck ◽  
1995 ◽  
Vol 17 (3) ◽  
pp. 258-262 ◽  
Author(s):  
Mark W. Lingen ◽  
Sambasiva M. Rao ◽  
Mark C. Hutten ◽  
Harold J. Pelzer

2013 ◽  
Vol 127 (2) ◽  
pp. 207-210 ◽  
Author(s):  
S M Hyun ◽  
J-Y Min ◽  
Y J Jang

AbstractObjective:To report a patient with maxillary pneumosinus dilatans and facial deformity treated by reduction osteoplasty and reconstruction.Case report:This study describes the successful management of facial deformity in a 17-year-old male with maxillary pneumosinus dilatans. The patient's facial deformity of the maxillary sinus, which had been slowly progressing over a 10-year period, was managed by reduction osteoplasty and reconstruction using the maxillary bone, conchal cartilage and Tutoplast-processed fascia lata via a sublabial approach. This treatment yielded satisfactory functional and aesthetic outcomes.Conclusion:As pneumosinus dilatans of the maxillary sinus is uncommon, there is no established surgical treatment protocol. This surgical technique was less invasive than other described procedures and revealed good cosmetic results.


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