Do not miss any of the new cases! Subscribe above to receive our newsletter! ↑↑

Do not miss the opportunity to download our app on the Google Play Store. Click here to enjoy it.

Previous

Case 97

Next


Click on the images above to zoom in

A 48-year-old female patient presented to the ENT outpatient department of Hospital das Clínicas, in Belo Horizonte, Brazil, with headache, nasal obstruction, non-purulent nasal discharge and right-sided facial pain. She had been previously treated with antibiotics without significant clinical improvement. She denied fever. She also reported having undergone a surgical removal of an odontogenic cyst ten years before, which was complicated by a right-sided oroantral fistula. Normal-sized nasal turbinates were observed on examination. A computed tomography of the paranasal sinuses was requested.

Based on the clinical scenario and image presented, the most likely diagnosis is:

a) Fungal sinusitis

25%

b) Tumor of the maxillary sinus

25%

c) Odontogenic sinusitis

25%

d) Nasosinusal polyposis

25%
   

Comments

  • - Sinusitis of odontogenic origin should be suspected in patients with unilateral chronic maxillary sinusitis and prior history of dental procedures.
    - The computed tomography is useful for establishing the diagnosis, assessing the disease extension and planning the surgical approach.
    - Treatment of the underlying dental condition is of utmost importance.
    - Surgery (Caldwell-Luc procedure) might be indicated in order to retrieve dislodged root and/or tooth fragments.

References

  • - Costa SS, Cruz OLM, Oliveira JAA et al. Otorrinolaringologia: Princípios e Práticas. 2ª edição. Porto Alegre: Artmed, 2006. 
    - Escoda C, Aytés L. Sinusitis odontogénica. In: Escoda C, Aytés L. Tratado de Cirurgía Bucal. 1th ed. Espanha: Ediciones Ergon, 2004: 687-708. 
    - Lee KC, Lee SJ. Clinical Features and Treatments of Odontogenic Sinusitis. Yonsei Med J. 2010 November 1; 51(6): 932–937.

Author

Lucas Fonseca Rodrigues, 3rd year medical student of UFMG School of Medicine. E-mail: lucasbhfonseca[at]yahoo.com.br

Supervisor

Dr. Roberto Eustáquio Guimarães, member of the Department of Otorhinolaryngology and Ophthalmology (UFMG School of Medicine). E-mail: resguimaraes[at]gmail.com

Reviewers

Raphael Penholati, Renato Campanati and Professor Viviane Parisotto

Translated by

Lucas Resende Lucinda, 6th year medical student of UFMG School of Medicine. E-mail: lucasresendebh[at]hotmail.com

Commentics

Sorry, there is a database connection problem.

Please check back again shortly.

Bookmark and Share




Unfortunately there is no english translation available yet for this case.

Please refer to the Portuguese version instead or come back later.





Follow us:      Twitter  |    Facebook  |    Get the news  |    E-mail