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안면통증을 동반한 양측 상악동의 Pneumosinus Dilatans

Bilateral Pneumosinus Dilatans of the Maxillary Sinuses with Facial Pain

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초록

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.

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.

참고문헌 (7)

  1. Adams WM, "Pneumosinus dilatans: a discussion of four cases and the possible aetiology", Rhinology, 36(1), pp.40~42 (1998)
  2. Jarvis JF, "Pneumocele of the frontal and sphenoidal sinuses", J Laryngol Otol, 88(8), pp.785~793 (1974)
  3. Suryanarayanan R, "Pneumosinus dilatans: demonstrated by sinus expansion on serial sinus X-rays with discussion of possible aetiology", J Laryngol Otol, 121(1), pp.96~99 (2007)
  4. Benjamins CE, "Pneumo-Sinus frontalis dilatans", Acta Otolaryngol, 1(1), pp.412~422 (1918)
  5. Urken ML, "Abnormally large frontal sinus. II. Nomenclature, pathology, and symptoms", Laryngoscope, 97(5), pp.606~611 (1987)
  6. Teh BM, "Pneumosinus dilatans, pneumocoele or air cyst? A case report and literature review", J Laryngol Otol, 126(1), pp.88~93 (2012)
  7. Karlidağ T, "Bilateral pneumosinus dilatans of the maxillary sinuses", Br J Oral Maxillofac Surg, 41(2), pp.122~123 (2003)

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