B. Aerodigestive Neoplasms of the Head and Neck: Maxillary Sinus Neoplasms

Angiosarcomas are rapidly growing malignant neoplasms arising from the vascular endothelial cells. Most common sites are the extremities and the retroperitoneal space, with only four per cent of angiosarcomas arising in the head and neck area, whilst the paranasal sinuses are one of the rarest locations. We report the case of a maxillary sinus angiosarcoma in a 72-year-old male patient. The first biopsy was inconclusive, whereas the second revealed an angiosarcoma. Medial maxillectomy was performed with subsequent external irradiation.

Download Full-text

Trismus in patients with malignant tumours in the head and neck

The Journal of Laryngology & Otology ◽

10.1017/s0022215100125149 ◽

1993 ◽

Vol 107 (11) ◽

pp. 1017-1020 ◽

Cited By ~ 70

Author(s):

Keitchi Ichimura ◽

Toshlyoshi Tanaka

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Maxillary Sinus ◽

Oropharyngeal Cancer ◽

Surgical Intervention ◽

Infratemporal Fossa ◽

Causal Mechanism ◽

Tumour Invasion ◽

Malignant Tumours ◽

Muscles Of Mastication

AbstractIn order to elucidate the causal mechanism of trismus in head and neck cancer, 21 patients manifesting trismus out of 212 patients with malignant tumours in the head and neck (treated in Tokyo University Branch Hospital from 1983 to 1991) were reviewed. Nine patients developed trismus either by infiltration of the muscles of mastication or by reflex spasm. Trismus was considered to have developed as a result of irradiation in five cases and of surgical intervention in seven cases. In some cases of oropharyngeal cancer, CT revealed no evidence of tumour invasion into the infratemporal fossa when trismus occurred, suggesting that trismus was caused either by the reflex spasm of muscles or by microinvasion too small to be seen in CT films. Maxillary sinus tumours were often without tnsmus even when they extended posteriorly to the infratemporal fossa.

Download Full-text

Transcatheter arterial embolisation for paediatric inflammatory pseudotumour of the maxillary sinus

The Journal of Laryngology & Otology ◽

10.1017/s0022215111001848 ◽

2011 ◽

Vol 125 (11) ◽

pp. 1189-1192 ◽

Cited By ~ 2

Author(s):

A Murai ◽

K Sugiu ◽

S Kariya ◽

K Nishizaki

Keyword(s):

Head And Neck ◽

Maxillary Sinus ◽

Late Onset ◽

Neck Region ◽

Surgical Excision ◽

Corticosteroid Treatment ◽

Treatment Modalities ◽

Inflammatory Pseudotumour ◽

Transcatheter Arterial Embolisation ◽

Arterial Embolisation

AbstractBackground:Inflammatory pseudotumours are mostly seen in the lung, and occasionally in the head and neck region including the sinonasal area. Reported treatment modalities comprise corticosteroid treatment, surgical excision and radiotherapy. The latter option is required because wide surgical resection may be difficult for head and neck lesions, especially in children. However, clinicians should be aware of the risk of late-onset side effects of radiotherapy in children.Case report:We present a two-year-old girl with a massive inflammatory pseudotumour of the maxillary sinus. Transcatheter arterial embolisation was performed, and the lesion was successfully managed without additional therapy. There was no evidence of recurrence over the next five years.Conclusion:This is the first report presenting the utility of arterial embolisation for inflammatory pseudotumour.

Download Full-text

Metachronous adenocarcinoma of the maxillary sinuses: a rare entity

The Journal of Laryngology & Otology ◽

10.1258/002221502761698810 ◽

2002 ◽

Vol 116 (12) ◽

pp. 1044-1046

Author(s):

Annette H. C. Ang ◽

Kenny Peter Pang ◽

Luke K. S. Tan

Keyword(s):

Head And Neck ◽

Maxillary Sinus ◽

Squamous Cell ◽

Paranasal Sinuses ◽

Aerodigestive Tract ◽

Rare Entity ◽

Malignant Tumours ◽

Head And Neck Tumours ◽

Multiple Primary ◽

Maxillary Sinuses

Malignant tumours of the nasal cavities and paranasal sinuses are uncommon.They constitute less than one per cent of all tumours and less than three per cent of head and neck tumours. Although multiple primary carcinomas of the aerodigestive tract are commonly reported, metachronous maxillary sinus carcinomas are rare. To date, all of these cases reported are of squamous cell origin. The incidence of metachronous maxillary carcinoma involving both sinuses is in the range of 1.4 per cent amongst patients with maxillary carcinoma. We present the first reported case, to our knowledge, of a patient with metachronous adenocarcinoma of the maxillary sinus.

Download Full-text

A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus

Reports ◽

10.3390/reports4040033 ◽

2021 ◽

Vol 4 (4) ◽

pp. 33

Author(s):

Mattia Di Bartolomeo ◽

Sara Negrello ◽

Arrigo Pellacani ◽

Anna Maria Cesinaro ◽

Stefano Vallone ◽

...

Keyword(s):

Case Report ◽

Head And Neck ◽

Maxillary Sinus ◽

Solitary Fibrous Tumor ◽

Malignant Neoplasm ◽

Neck Region ◽

Benign Neoplasm ◽

Surgical Excision ◽

Purulent Discharge ◽

Fibrous Tumor

A solitary fibrous tumor (SFT) is a benign neoplasm, firstly described as a mesenchymal tumor of the pleura. Its incidence range in the head and neck region is about 5–27%, but only rarely does it affect paranasal sinuses. The differential diagnosis is challenging, owing to its erosive growth pattern and immuno-histochemical features. SFTs have an aggressive behavior and an important recurrence potential. Therefore, a radical surgical excision is the gold standard therapeutic procedure. A rare SFT originating from the right maxillary sinus is reported here. The 37-year-old patient presented to the outpatient clinic with a painful expansive lesion in the whole right maxillary region. The overlying skin was inflamed and the patient had no epistaxis episodes. The 1.5 dentary element tested negative for vitality; however, a puncture of the lesion led to a hematic spill and no purulent discharge. An endoscopic-guided biopsy was suggestive either of SFT or hemangioperictoma, excluding a malignant neoplasm. A multi-equipe surgical team was activated. The lesion was embolized in order to achieve a good hemostatic control and, after 48 h, the neoplasm was radically excised with a combined open and endoscopic approach. The patient was disease-free at 12-month radiological and clinical follow-up. Given the rarity of this lesion and the delicacy required in addressing head and neck neoplasms, we believe that the present case report might be of help in further understanding how to approach cranio-facial SFTs.

Download Full-text

Clinocpathological study of tumours of maxilla

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173135 ◽

2017 ◽

Vol 3 (4) ◽

pp. 795

Author(s):

Udaya Kumar M. ◽

Kranti Gouripur ◽

S. Elangovan ◽

V. Srinivasa

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Maxillary Sinus ◽

Squamous Cell ◽

Neck Region ◽

Inverted Papilloma ◽

Malignant Tumours ◽

Head And Neck Region ◽

Histological Variant

Background: Malignant neoplasms of the nose and paranasal sinuses are rare and account for 3% of malignancies involving head and neck region. Maxillary sinus is the commonest area affected and squamous cell carcinoma is the commonest malignancy reported. Due to nonspecific clinical features, late presentations and poor accessibility tumours in these areas are both therapeutically and diagnostically challenging. Data about maxillary sinus tumours, especially from Karaikal are lacking. This prospective hospital-based study was conducted to determine the common benign and malignant tumours affecting the maxilla, their epidemiology and to analyse their clinical presentations.Methods: Relevant epidemiological and clinical details were collected for all the patients with maxillary tumours and thorough clinical evaluation was performed. CT scan of head and neck region and histopathological examination of the lesion was carried out. All the details were tabulated and percentages were calculated for comparison and analysis. Results: During two years period of the study 44 patients with tumours affecting the maxilla were detected, 32 (72%) being benign and 12 (27%) malignant. Incidence of both benign and malignant tumours was highest in the 51-60 years age group with male preponderance. Squamous cell carcinoma (58.33%) was the most common malignant histological variant found while inverted papilloma with squamous epithelium (62.5%) was the most common benign histological variant. In TNM staging, 42% patients had T4 and the remaining were T3 and T2. Conclusions: In Karaikal region, inverted papilloma with squamous epithelial lining and squamous cell carcinoma are the commonest benign and malignant tumours of maxilla respectively. Although clinical manifestations of both benign and malignant lesions overlap, certain features like facial pain, cheek swelling, loosening of teeth which were found only in association with carcinoma should warrant thorough evaluation.

Download Full-text

Primary Osteosarcoma of the Maxillary Sinus: An Exceptional Presentation

10.52916/jmrs214047 ◽

2021 ◽

pp. 1-3

Author(s):

Imane Mbarki

Keyword(s):

Young Adults ◽

Early Diagnosis ◽

Head And Neck ◽

Maxillary Sinus ◽

Surgical Resection ◽

Malignant Tumor ◽

Important Determinant ◽

Mesenchymal Cells ◽

Low Risk ◽

Long Bones

Osteosarcoma is a common primary malignant tumor of long bones in which mesenchymal cells produce osteoid, affecting mainly young adults. Head and neck localization is rare, moreover at the level of the maxillary sinus. The certainty diagnosis is based on the clinical CT and histopathological findings. This histological type is associated with a low risk of metastasis. Early diagnosis and wide surgical resection of the tumor are the most important determinant factors of prognosis. In this article, we report a case where radiotherapy was used.

Download Full-text

Tuberculosis of the Maxilla and Reconstruction of Midfacial Defect using Temporalis Muscle Flap

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1093 ◽

2012 ◽

Vol 3 (1) ◽

pp. 49-52

Author(s):

HP Singh ◽

Sunil Kumar ◽

SP Agarwal

Keyword(s):

Head And Neck ◽

Maxillary Sinus ◽

Surgical Procedures ◽

Muscle Flap ◽

Fistula Formation ◽

Rare Entity ◽

Temporalis Muscle ◽

One Stage ◽

Temporalis Muscle Flap ◽

Bony Erosion

ABSTRACT Tuberculosis of the maxillary sinus is a rare entity which may lead to bony erosion and fistula formation. In this case, we have described a patient of tuberculosis of maxilla, a relatively uncommon entity leading to marked bony erosion with fistula formation over face, which was reconstructed using temporalis muscle flap as a reliable and one-stage procedure alternative to more complicated surgical procedures for midfacial defects. How to cite this article Kumar S, Singh HP, Agarwal SP. Tuberculosis of the Maxilla and Reconstruction of Midfacial Defect using Temporalis Muscle Flap. Int J Head and Neck Surg 2012;3(1):49-52.

Download Full-text

Incidental maxillary sinus findings in patients referred for head and neck CT angiography

Singapore Dental Journal ◽

10.1016/j.sdj.2012.10.001 ◽

2012 ◽

Vol 33 (1) ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

Christopher G.T. Lim ◽

Manfred Spanger

Keyword(s):

Head And Neck ◽

Maxillary Sinus ◽

Ct Angiography

Download Full-text

Endoscopic resection of haemangiomas in the sinonasal cavity

The Journal of Laryngology & Otology ◽

10.1017/s0022215109004861 ◽

2009 ◽

Vol 123 (8) ◽

pp. 868-872 ◽

Cited By ~ 16

Author(s):

C E Song ◽

J H Cho ◽

S Y Kim ◽

S W Kim ◽

B G Kim ◽

...

Keyword(s):

Head And Neck ◽

Maxillary Sinus ◽

Endoscopic Resection ◽

Clinical Characteristics ◽

Chart Review ◽

Retrospective Chart Review ◽

Inferior Turbinate ◽

External Approach ◽

Tumour Control ◽

Endoscopic Excision

AbstractObjectives:Haemangiomas do not develop as commonly in the sinonasal cavity, compared with other head and neck sites. The clinical characteristics of sinonasal cavity haemangiomas and the results for endoscopic resection have been addressed in the literature only briefly. Thus, this study aimed to evaluate these points.Materials and methods:A retrospective chart review was undertaken of 22 patients who had undergone endoscopic excision of sinonasal cavity haemangiomas, in order to define clinical characteristics and tumour control rates.Results and analysis:The most common presenting symptom was epistaxis. The most prevalent site was the inferior turbinate (45.5 per cent), followed by the maxillary sinus (18.2 per cent). No recurrence was observed in any patient.Conclusion:Although past studies have described external approach sinonasal surgery as the mainstay of treatment, our results imply that endoscopic excision of sinonasal haemangiomas yields excellent outcomes in terms of tumour control and safety.

Download Full-text