Cases reported "Maxillary Sinusitis"

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1/6. Maxillary sinus fusariosis in immunocompetent hosts.

    We report the first known cases of fusariosis of maxillary sinus with granuloma and oro-antral fistula in two immunocompetent hosts. fusarium solani was demonstrated in the direct microscopic examination and isolated in heavy growth from the biopsy materials. Both these patients were successfully treated with oral ketoconazole (200 mg daily) for three weeks followed by a Caldwell-Luc operation. ketoconazole was continued for two months post-operatively.
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ranking = 1
keywords = fistula
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2/6. Chronic odontogenic maxillary sinusitis.

    The aim of the present study was to estimate average age of the patients in both sexes treated for MS, distribution by sex, amount of dexter and sinister MS with and without the fistulas into the maxillary sinus, with and without the foreign-bodies, length of stay in the Department of Maxillofacial Surgery at Kaunas Hospital of University of medicine during the period from 1999 till 2004. The retrospective data analysis of the patients' treated from chronic MS was made. 346 patients (213 females and 133 males) were treated for chronic MS. 55 cases of chronic dexter MS with a fistula into maxillary sinus, 98 cases of chronic dexter MS without a fistula, 45 cases of chronic sinister MS with a fistula, 112 cases chronic sinister MS without a fistula, 16 cases of foreign-bodies in dexter maxillary sinus, 20 cases of foreign-bodies in sinister maxillary sinus have been detected. The main age of the female was 46.6 /-15.0, the main age of the men was 42.1 /-14.4. Statictically significant difference in the age difference of the women and the men was found (p=0.0024). It was determined, that females diagnosed and treated with chronic MS were 1.6 times more than males during the period from 1999 till 2004 in Kaunas Hospital of University of medicine. Females treated for chronic MS were 4.5 years older than males.
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ranking = 5
keywords = fistula
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3/6. Treatment of an oroantral fistula with chronic sinusitis: a case report.

    A patient with an oroantral fistula of seventeen years' duration presented clinically complaining of symptoms suggesting recurring episodes of acute maxillary sinusitis. After control of the acute sinusitis, the defect was repaired using a buccal flap procedure and the sinus was enucleated via a Caldwell-Luc approach. The sinus contents included what appeared to be a chicken bone. The patient healed uneventfully. A discussion of the management of chronic oroantral fistulas and a case report are presented.
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ranking = 3691135.1387529
keywords = oroantral fistula, oroantral, fistula
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4/6. Sinus aspergillosis.

    The prevalence of aspergillus sinusitis is often underestimated because the vast majority of cases are classified as "unspecified sinusitis". Two possible aetio-pathogenic mechanisms can be involved in the development of this fungal infection. Traditionally, the literature emphasised the "anglophone" hypothesis which is based on the inhalation of spores. More recently, the "french" model, based on oro-sinusal fistula and/or the perforation of the maxillary sinus by root canal-filling material, is believed to explain the majority of cases in our industrialised environments. Still, neither model explains the totality of cases and several remain beyond comprehension. The disease most commonly presents as a chronic bacterial sinusitis. The process can however become invasive, thus resembling malignancy, with eventually a fatal outcome. Doctors and dentists should know the possible danger, presented by zinc-oxide-eugenol-paste in the sinus. Radical surgery is the treatment of choice, since a prolonged conservative approach (antibiotics, corticosteroids) can only worsen the prognosis. This paper discusses different aspects of the disease, and presents 10 cases, observed at the University hospitals of paris (france) and Leuven (belgium).
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ranking = 1
keywords = fistula
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5/6. Transnasal endoscopic closure of anterior fossa cerebrospinal fluid fistula.

    The anterior skull base can be approached intranasally, and the development of endoscopes and accompanying endoscopic instruments in recent years makes possible extremely precise and defined work along the ethmoid and sphenoid sinus roof. Since these areas are the most frequent locations of anterior skull base CSF rhinorrhea, it follows that the localization and subsequent closure of these defects theoretically can be accomplished in this manner. Our report and others show that closure of CSF leaks can be accomplished successfully using this procedure, with minimal morbidity and at a fraction of the cost of frontal craniotomy. In our opinion, this should become the initial procedure of choice for closure of anterior fossa CSF leaks in amenable cases.
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ranking = 4
keywords = fistula
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6/6. Antral augmentation, osseointegration, and sinusitis: the otolaryngologist's perspective.

    Osseointegrated dental implants are a widely used method of replacing lost or missing teeth. Resorption of the alveolar ridge of the edentulous posterior maxilla may necessitate augmentation before osseointegration to provide adequate bone for implant fixation. This can be accomplished through an intraoral approach to the maxillary sinus, with elevation of the mucosa of the sinus floor creating a pocket for graft placement. Disruption of the intact sinus mucosa may result in sinusitis, graft infection, or extrusion with secondary formation of an oroantral communication. To treat these patients effectively, the otolaryngologist must be aware of the techniques of sinus augmentation and osseointegration as well as the etiology of associated complications. We will discuss the management of four patients with significant sinus complications, and evaluate the otolaryngologist's role in the preoperative and postoperative care of these patients.
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ranking = 40514.18529926
keywords = oroantral
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