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Reduction osteoplasty for treating pneumosinus dilatans of the maxillary sinus

Published online by Cambridge University Press:  07 January 2013

S M Hyun
Affiliation:
Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea
J-Y Min
Affiliation:
Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea
Y J Jang*
Affiliation:
Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea
*
Address for correspondence: Dr Y J Jang, Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap 2-dong, Songpa-gu, Seoul 138-736, South Korea E-mail: jangyj@amc.seoul.kr

Abstract

Objective:

To report a patient with maxillary pneumosinus dilatans and facial deformity treated by reduction osteoplasty and reconstruction.

Case report:

This study describes the successful management of facial deformity in a 17-year-old male with maxillary pneumosinus dilatans. The patient's facial deformity of the maxillary sinus, which had been slowly progressing over a 10-year period, was managed by reduction osteoplasty and reconstruction using the maxillary bone, conchal cartilage and Tutoplast-processed fascia lata via a sublabial approach. This treatment yielded satisfactory functional and aesthetic outcomes.

Conclusion:

As pneumosinus dilatans of the maxillary sinus is uncommon, there is no established surgical treatment protocol. This surgical technique was less invasive than other described procedures and revealed good cosmetic results.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2013

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