Reduction osteoplasty for treating pneumosinus dilatans of the maxillary sinus

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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Pneumosinus dilatans, pneumocoele or air cyst? A case report and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215111002283 ◽

2011 ◽

Vol 126 (1) ◽

pp. 88-93 ◽

Cited By ~ 8

Author(s):

B M Teh ◽

C Hall ◽

S W Chan

Keyword(s):

Case Report ◽

Literature Review ◽

Maxillary Sinus ◽

Key Words ◽

Paranasal Sinus ◽

Facial Pain ◽

Surgical Intervention ◽

Pneumosinus Dilatans

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.

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

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2011.07.1006 ◽

2011 ◽

Vol 40 (10) ◽

pp. e29

Author(s):

L.G. Patrocinio ◽

T.G. Patrocinio ◽

M.M. Naves ◽

C.V. Pereira ◽

D.R. Parreira

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Review Of The Literature ◽

Pneumosinus Dilatans

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A large pyogenic granuloma with extensive maxillary bone resorption penetrating the maxillary sinus: A rare case report

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2016.12.008 ◽

2017 ◽

Vol 29 (3) ◽

pp. 254-257

Author(s):

Masanobu Abe ◽

Kazuto Hoshi ◽

Masaaki Shojima ◽

Tetsuo Ushiku ◽

Hideyuki Suenaga ◽

...

Keyword(s):

Case Report ◽

Bone Resorption ◽

Maxillary Sinus ◽

Rare Case ◽

Pyogenic Granuloma ◽

Maxillary Bone ◽

Rare Case Report

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Treatment of a Periodontic-Endodontic Lesion in a Patient with Aggressive Periodontitis

Case Reports in Dentistry ◽

10.1155/2016/7080781 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9

Author(s):

Mina D. Fahmy ◽

Paul G. Luepke ◽

Mohamed S. Ibrahim ◽

Arndt Guentsch

Keyword(s):

Case Report ◽

Practical Implication ◽

Treatment Protocol ◽

Aggressive Periodontitis ◽

Caucasian Woman ◽

Successful Management ◽

Treatment Interventions ◽

General Dentists ◽

Mandibular First Molar ◽

Dental Professionals

Case Description. This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions.Practical Implication. Periodontic-endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties. General dentists can be the gatekeepers in managing these cases.

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Maxillary osteosarcoma: a case report and review of maxillary sinus space-occupying lesions

Brazilian Dental Science ◽

10.14295/bds.2020.v23i4.2076 ◽

2020 ◽

Vol 23 (4) ◽

pp. 6p

Author(s):

Abbas Shokri ◽

Kousar Ramezani

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Periodontal Ligament ◽

Null Space ◽

Chief Complaint ◽

Periosteal Reaction ◽

Cone Beam ◽

Maxillary Bone ◽

Rare Lesion ◽

Minimum Resistance

Osteosarcoma is a relatively rare lesion in the maxillary bone. The proximity of the lesion to the maxillary sinus provides a null space with the minimum resistance to progress prior to manifest clinically, which makes the early diagnosis more critical. We report a case of maxillary osteosarcoma in a 21-year old male patient who was presented with the chief complaint of the pain and swelling on the left side of palate since 2 months earlier. A cone-beam computed tomography of the maxilla revealed a diffuse hyper-intense entity at the left side of the maxilla. Totally-occupied maxillary sinus space, asymmetric periodontal ligament widening of the involved teeth and spiculated and sunray periosteal reaction were recognized. The diagnosis of osteosarcoma was established and confirmed by histopathology. This article reviews the sinus-occupying lesion in the following and describes the lesions originate within the maxillary sinus or arise from the adjacent odontogenic components. Keywords Case report; Maxillary sinus; Osteosarcoma.

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Maxillary Pneumosinus Dilatans Presenting With Proptosis: A Case Report and Review of the Literature

Clinical Medicine Insights Ear Nose and Throat ◽

10.1177/1179550618825149 ◽

2019 ◽

Vol 12 ◽

pp. 117955061882514 ◽

Cited By ~ 1

Author(s):

Abdullah A Alatar ◽

Yazeed A AlSuliman ◽

Maha S Alrajhi ◽

Fahad S Alfawwaz

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Surgical Intervention ◽

Rare Condition ◽

Review Of The Literature ◽

Pneumosinus Dilatans ◽

Multiple Hypotheses ◽

Facial Swelling ◽

The Mean ◽

The Right

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.

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Decompression as an effective primary approach to large radicular cyst in maxillary sinus: A case report

Vojnosanitetski pregled ◽

10.2298/vsp140317043b ◽

2015 ◽

Vol 72 (7) ◽

pp. 634-638 ◽

Cited By ~ 1

Author(s):

Vladimir Biocanin ◽

Denis Brajkovic ◽

Momir Stevanovic ◽

Zoran Tatic ◽

Miroslav Andric ◽

...

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Cystic Lesion ◽

Treatment Protocol ◽

Radicular Cyst ◽

Jaw Cysts ◽

Intimate Contact ◽

Close Proximity ◽

Maxillary Cyst ◽

The Right

Introduction. Therapeutic approach to jaw cysts may depend on their dimensions and localization. Enucleation of cystic lesion is not always preferable in the first act, especially if large cysts are in close proximity to important anatomical structures. The aim of this paper was to present the outcome of the treatment protocol comprising preoperative decompression and subsequent enucleation of a large maxillary cyst. Case report. A 21-year-old male patient with large asymptomatic radicular cyst in the right maxillary sinus was presented to our clinic. Cone-beam computed tomography (CBCT) showed a large cyst, which perforated the right anterior maxillary wall by 1.5 cm, and was in the intimate contact with the orbital floor. Surgical treatment of the cystic lesion comprised: preoperative decompression with biopsy in the first act and enucleation, performed under general anesthesia, 6 months after the observation period. Conclusion. Decompression with subsequent enucleation proved to be effective treatment of large radicular cyst in maxillary sinus with low-morbidity.

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