Korean J Otorhinolaryngol-Head Neck Surg.  2013 Apr;56(4):233-236. 10.3342/kjorl-hns.2013.56.4.233.

Bilateral Pneumosinus Dilatans of the Maxillary Sinuses with Facial Pain

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Konkuk University, Chungju, Korea. hiyums@hanmail.net

Abstract

Pneumosinus dilatans is a rare disease in which 1 or more paranasal sinuses are dilated without functional alteration. The frontal sinus is the most commonly affected site, with involvement of the maxillary sinus being rare. A 25-year-old man had complained of facial pain and headache of frontal area. These symptoms were aggravated after nose blowing. A computed tomographic scan showed a hyperaeration of both maxillary sinus and frontal sinus. We treated the condition by endoscopic sinus surgery (middle meatal antrostomy, both). Just after operation, facial pain and headache of frontal sinus have subsided. No recurrence was detected. In this article, the authors present surgical options for the treatment of pneumosinus dilatans of the maxillary sinus, including a review of the literature.

Keyword

Endoscopic surgery; Maxillary sinus; Pneumosinus dilatans
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