J Korean Assoc Oral Maxillofac Surg.  2015 Aug;41(4):217-221. 10.5125/jkaoms.2015.41.4.217.

Sinonasal sarcoidosis of the maxillary sinus and infraorbital nerve: a case report

• Joseph B
• Vyloppilli S
• Sayd S
• Ummer N

• KMID: 2364021
• DOI: http://doi.org/10.5125/jkaoms.2015.41.4.217

Abstract

Sinonasal sarcoidosis in the head and neck region is infrequent. Its occurrence can be either isolated in combination with other systems. The literature reveals that the occurrence of sinonasal sarcoidosis without lung involvement is rare. In general, sarcoidosis is a chronic non-caseating granulomatous disease of unknown origin, often identified after biopsy. In this article, we report on a benign tumor of the face that produced a diagnostic dilemma, necessitating refinement of the surgical access and in toto removal of the benign tumor.

Keyword

Paranasal sinus; Maxillary sinus; Sarcoidosis; Granulomatous lesion; Facial paresthesia

MeSH Terms

Biopsy
Head
Lung
Maxillary Sinus*
Neck
Sarcoidosis*

Figure

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  Fig. 1 Preoperative swelling on the right midface region.

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  Fig. 2 Computed tomographies show sinus lesion (A) and soft tissue lesion (B).

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  Fig. 3 Placement of intraoral vestibular incision to gain access to the lesion.

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  Fig. 4 Excised mass in toto.

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  Fig. 5 Nerve relation with the tumor.

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  Fig. 6 Antral pack and closure.

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  Fig. 7 One-month postoperative.

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  Fig. 8 H&E stained low power (×10) section shows abundant chronic inflammatory cells interspersed with different type of multinucleated giant cells.

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  Fig. 9 H&E stained high power (×40) section shows chronic inflammatory cells.

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  Fig. 10 H&E stained low power (×10) section shows chronic inflammatory cells, multinucleated giant cells and connective tissue.

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