Organised haematoma of the maxillary sinus in patients with chronic renal failure

Lee, D H; Joο, Young Eun; Lim, Sang Chul

doi:10.1017/s0022215112001491

Cited by 4 publications

(15 citation statements)

References 7 publications

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“…The most common symptoms of maxillary sinus organized hematoma are nasal bleeding and nasal obstruction 1–3,8,9 . Our patients also mainly complained of nasal bleeding and nasal obstruction (92.0%).…”

Section: Discussionmentioning

confidence: 64%

“…2 Its major downside is donor site morbidity, necessitating a skin graft for closure and sacrifice of a major vessel to the hand. 3 The anterolateral thigh fasciocutaneous flap has emerged as a viable alternative; however, it is frequently too bulky and stiff for hemi-tongue reconstructions. Another option is the lateral arm flap.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast-enhanced CT scans, patchy heterogeneous enhancement with various degrees is found within the lesion. The characteristics of an organized hematoma are better observed by MRI 1–11 . MRI imaging of an organized hematoma demonstrates various signal intensities on T1- and T2-weighted images.…”

Section: Discussionmentioning

confidence: 99%

“…An organized hematoma is a rare, non-neoplastic benign lesion that occurs primarily in the maxillary sinus 1–7 . The detection and incidence of organized hematomas have increased gradually due to advancements in diagnostic technology, longer lifespan, and increases in dental treatments 8 .…”

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confidence: 99%

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Endoscopic Surgical Treatment of Maxillary Sinus Organized Hematoma

Jeong

Lee

Lim

2021

Journal of Craniofacial Surgery

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The purpose of this study was to analyze the clinical characteristics and treatment outcomes of patients who underwent endoscopic surgery for a maxillary sinus organized hematoma during a 15-year period in our hospital. Methods: The authors analyzed 25 patients who underwent endoscopic surgery for a maxillary sinus organized hematoma from January 2004 to December 2019. Results: Twenty-five patients with a maxillary sinus organized hematoma underwent endoscopic surgical treatment and complete removal of the maxillary sinus organized hematoma was achieved in all cases. The main symptoms were nasal bleeding in 14 patients, followed by a nasal obstruction in nine, and facial swelling in 2. Of the 25 patients, 13 underwent endoscopic medial maxillectomy and 12 underwent endoscopic sinus surgery. There were no major surgical complications or recurrences. Conclusion:The authors demonstrated that endoscopic surgery is a safe and reliable treatment method for a maxillary sinus organized hematoma.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Endoscopic Surgical Treatment of Maxillary Sinus Organized Hematoma

Jeong

Lee

Lim

2021

Journal of Craniofacial Surgery

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“…Pseudonyms include haemorrhagic pseudotumour, and the problem may present in patients with existing comorbidity such as a bleeding dyscrasia or chronic renal failure [21]. Pseudonyms include haemorrhagic pseudotumour, and the problem may present in patients with existing comorbidity such as a bleeding dyscrasia or chronic renal failure [21].…”

Section: Haematomamentioning

confidence: 99%

Evaluation and treatment of isolated maxillary sinus disease

Stephens

Saleh

2013

Current Opinion in Otolaryngology & Head and Neck Surgery

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On the basis of the review, diagnosing isolated maxillary sinus disease can still be delayed due to late presentation. When suspected, it is advisable to investigate early with computed tomography scanning and proceeding to MRI if needed. Often these will show certain features with clues to the diagnosis. Final diagnosis is frequently only obtained on histological examination. The majority of these disorders can now be managed by endoscopic techniques alone with open surgery required in a small number of cases.

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Sinonasal Organizing Hematoma: Demographics, Diagnosis, and Treatment Outcomes of 112 patients

Park,

Choi,

Kim

et al. 2023

The Laryngoscope

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IntroductionSinonasal organizing hematoma (OH) is a rare, nonneoplastic lesion that often presents with epistaxis, a reddish mass, and destruction of the involved sinonasal structures. Due to its rarity, the demographics, diagnostic modalities, treatment strategies, and outcomes have not yet been studied in a large, long‐term study.Materials and MethodsRetrospect cohort of 112 sinonasal OH patients treated between 1997 and 2020 in a tertiary, university hospital were evaluated. Demographics, systemic comorbidities, sinonasal surgery history, serum laboratory tests, radiological findings, and treatment results were collected. The present study aimed to assess the accuracy of preoperative computed tomography (CT), Gadolinum‐enhanced magnetic resonance (MR), and punch biopsies in detecting sinonasal OH as the most likely diagnosis. In addition, incidental differences by age and year of diagnosis were calculated using the Poisson log‐linear regression model.ResultsThe median age was 44, and 58% were male. Fewer than 20% of these cases had a chronic systemic comorbidity, bleeding tendency, or sinonasal surgery history. MR had the highest accuracy of (87%) to detect sinonasal OH as the most likely diagnosis, compared with contrast‐enhanced‐CT (53%), punch biopsy (49%), and non‐enhanced‐CT (16%) (all <0.05). Sinonasal OH incidence did not vary by age, but the yearly rate significantly increased by 1.05 times over 23 years (p < 0.05). Notably, 84% of 112 patients received surgical removal through the assistance of an endoscope, and none had substantial bleeding without preoperative embolization.ConclusionSinonasal OH was observed regardless of age, sex, systemic comorbidities, bleeding tendency, prior sinonasal surgery, or trauma. Preoperative MR gives the highest accuracy for detecting this disease. Sinonasal OH may be safely managed with endoscopic‐assisted surgery removal without embolization.Level of Evidence4 Laryngoscope, 2023

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Organised haematoma of the maxillary sinus in patients with chronic renal failure

Abstract: A diagnosis of organised haematoma of the maxillary sinus should be considered when a patient with a history of chronic renal failure develops unilateral, recurrent epistaxis and nasal obstruction.

Cited by 4 publications

References 7 publications

Endoscopic Surgical Treatment of Maxillary Sinus Organized Hematoma

Endoscopic Surgical Treatment of Maxillary Sinus Organized Hematoma

Evaluation and treatment of isolated maxillary sinus disease

Sinonasal Organizing Hematoma: Demographics, Diagnosis, and Treatment Outcomes of 112 patients

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