Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Τετάρτη 26 Ιουλίου 2017

Unusual case of odontogenic maxillary sinusitis

Description

A 76-year-old woman presented with intermittent infection around the upper right 2 (UR2) area of the maxilla for several years. She also complained of persistent rhinorrhoea and right-sided facial pain.

Seven years previously, she had presented with similar right maxillary pain, after undergoing root canal treatment of the UR2, 3 and 4 teeth. An orthopantomogram had shown uptake around the UR2 region (figure 1). There was a suspicion of retained tooth fragment, and she underwent a Caldwell-Luc procedure under local anaesthetic but no tooth fragment was identified at surgery.

Figure 1

Orthopantomogram.

Examination revealed a sinus draining buccally around UR2 and a fluctuant swelling of the palate. She was tender over the right maxilla. Nasal endoscopy did not demonstrate any purulent discharge from the right middle meatus.

A CT scan identified (1) opacification of the sinus, (2) a calcified...



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