Intraoperative incidental finding of maxillary hypoplasia: a rare case report

Authors

  • Sama Rizvi Department of ENT and Head and Neck Surgery, School of Medical Sciences and Research, Sharda University, Knowledge Park -III, Greater Noida, Uttar Pradesh, India
  • Riya Thakral Department of ENT and Head and Neck Surgery, School of Medical Sciences and Research, Sharda University, Knowledge Park -III, Greater Noida, Uttar Pradesh, India
  • Stuti Shukla Department of ENT and Head and Neck Surgery, School of Medical Sciences and Research, Sharda University, Knowledge Park -III, Greater Noida, Uttar Pradesh, India
  • Saurabh Singh Department of ENT and Head and Neck Surgery, School of Medical Sciences and Research, Sharda University, Knowledge Park -III, Greater Noida, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20240074

Keywords:

Nasal obstruction, Headache, Maxillary antrum, Hypoplasia

Abstract

Hypoplastic and aplastic paranasal sinuses are rare conditions which can lead to obstruction of mucociliary clearance. most of these patients are asymptomatic, however these conditions may lead to chronic headaches and nasal obstruction which can be misleading towards the diagnosis of chronic rhinosinusitis. it has been reported in literature that conventional radiography could not differentiate between inflammatory pathologies, neoplasm, and hypoplasia of the sinus. Computed tomography and cone beam computed tomography are the modalities of choice to differentiate these conditions, wherein cone beam CT is found to be more accurate for diagnosis of hypoplasia. In the present study, we report an incidental intraoperative finding of hypoplastic left sided maxillary sinus of a 17-year-old male patient who had clinical features of chronic rhinosinusitis.

References

Bassiouny A, Newlands WJ, Ali H, Zaki Y. Maxillary sinus hypoplasia and superior orbital fissure asymmetry. Laryngoscope. 1982;92:441-8.

Vinson RP, Collette RP. Maxillary sinus hypoplasia masquerading as chronic sinusitis. Postgrad Med. 1991;89:189-90.

Kosko JR, Hall BE, Tunkel DE. Acquired maxillary sinus hypoplasia: A consequence of endoscopic sinus surgery? Laryngoscope. 1996;106:1210-3.

White SC, Pharoah MJ. 6th ed. St. Louis: Mosby Elsevier; 2009:520-1.

Erdem T, Aktas D, Erdem G, Miman MC, Ozturan O. Maxillary sinus hypoplasia. Rhinology. 2002;40:150-3.

Dwivedi RC, Samanta N, Kishore K, Srivastava D, Agarwal SP. Bilateral maxillary sinus hypoplasia: A rare cause of chronic facial pain. Internet J Radiol. 2007;7:21-7.

Baykara M, Erdoúan N, Ozturk M, Erkan M. Maxillary sinus aplasia. Turk J Med Sci. 2007;32: 273-5.

Jafari-Pozve N, Sheikhi M, Ataie-Khorasgani M, et al. Aplasia and Hypoplasia of the Maxillary Sinus: A Case Series. Dent Res J. 2014;11(5):615-7.

Tasar M, Cankal F, Bozlar U, Hidir Y, Saglam M, Ors F. Bilateral maxillary sinus hypoplasia and aplasia: radiological and clinical findings. Dentomaxillofac Radiol. 2007;36(7):412-5.

Wake M, Shankar L, Hawke M, Takeno S. Maxillary sinus hypoplasia, embryology, and radiology. Arch Otolaryngol Head Neck Surg. 1993;119(12):1353-7.

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Published

2024-01-25