Case Study
Year: 2021 | Month: February | Volume: 11 | Issue: 2 | Pages: 95-99
Diagnostic Algorithm and Management Protocol with Special Consideration to Chronic Granulomatous Lesions Involving the Maxillary Sinus
Pallavi Saxena1, Ranjan Mathur2
1Senior Resident, Department of Dentistry, Sardar Patel Medical College and Associated Hospitals Bikaner, India.
2Professor and Head, Department of Dentistry, Sardar Patel Medical College and Associated Hospitals Bikaner, India.
Corresponding Author: Pallavi Saxena
ABSTRACT
Tumor growth of the maxilla and maxillary sinus, causing eye proptosis along with a diffuse swelling over the malar region of the face mostly point towards a diagnosis of maxillary sinus neoplasm and /or granulomatous lesion. This provisional diagnosis is further confirmed with the help of radiological and histopathological evaluation. Maxillary sinus is a unique part of the maxillofacial region as it is in close proximity to the odontogenic apparatus, the nasal cavity which are a very potent source of pathologies. Owing to the hollow nature of the sinus any neoplastic and non neoplastic growth can easily grow in to the sinus from the oral and/ or nasal cavity. Also the maxillary sinus is lined by the pseudo stratified ciliated squamous epithelium which is very much pleuripotent in nature, can easily give rise to pathologies arising from the maxillary sinus itself. This uniqueness of maxillary sinus makes it important to focus on following a particular algorithm for diagnosis and management. This article focuses on the development of algorithm to be followed for maxillary sinus pathologies, with a special consideration on chronic granulomatous lesions producing tumor like growth in the maxillary sinus.
Key words: Maxillary Sinus, Chronic Granulomatous Lesions, Eye Proptosis, Nasal Obstruction, Growth on Maxilla.