Paranasal sinus exostoses: An unusual complication of topical drug delivery using cold nasal irrigations

Haffey, Timothy M.; Woodard, Troy D.; Sindwani, Raj

doi:10.1002/lary.23384

Cited by 12 publications

(19 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, many cases of exostosis in sinuses have been reported in the otolaryngologist literature, which are suspected to be the main cause of having cold nasal irrigants. Haffey et al, 6 reported six cases of paranasal exostosis in ethmoidal and maxillary sinuses, all patients presenting the same features: all cases underwent paranasal surgery, without previous findings of this condition in tomography or endoscopic examination, and were asymptomatic. Also, all the nasal irrigants were kept in the refrigerator.…”

Section: Discussionmentioning

confidence: 99%

“…Exostoses in paranasal sinuses have been widely reported in the otolaryngology literature, 5–8 but they have not been described in the dental radiology literature to our knowledge. The aim of this article is to describe an idiopathic and rare case of bilateral exostosis obtained by cone-beam computed tomography.…”

Section: Introductionmentioning

confidence: 91%

“…The same authors 4 stated that no information about the origin of exostosis was found, but recently, some authors have related exostosis cases in patients with nasal irrigation treatment, correlating cold temperature with a possible exostosis beginning. 5–8 Panoramic radiograph is a low-cost imaging method to assess the size, pneumatization, and findings of maxillary sinus. This radiograph is used routinely in the first examination of patients because it is simple, has low radiation exposition, and allows the observation of different kinds of findings in the maxillary sinus as in other structures.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Idiopathic bilateral antral exostoses: A rare case in maxillary sinus

Borie

Watanabe

Orsi

et al. 2014

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

INTRODUCTIONExostoses in paranasal sinuses have been reported in the otolaryngology literature, but they have not been described in the dental literature to our knowledge. The aim of this article is to describe an idiopathic and rare case of bilateral exostosis obtained by cone-beam computed tomography.PRESENTATION OF CASEThe case shows a healthy and asymptomatic patient with a different size and form of exostoses in both maxillary sinuses.DISCUSSIONIt is difficult to clinically diagnose the antral exostosis due the asymptomatic nature of this condition, unless the approach would be through endoscope. Sometimes this condition is related with nasal irrigants, however in this case the patient asserted not having used nasal irrigation ever; thus, it is impossible to relate this kind of treatment as a principal cause.CONCLUSIONThe published data of exostoses in maxillary sinus seem to be limited in the dental literature, and this condition is important to consider in an implant treatment planning. Also, it is important to perform a follow-up of the cases in trying to find the possible causes of exostosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Idiopathic bilateral antral exostoses: A rare case in maxillary sinus

Borie

Watanabe

Orsi

et al. 2014

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…However, a biopsy could be useful in some patients with an inconsistent history or noncharacteristic-appearing lesions. 12 Radiographic Interpretation in CBCT The coronal tomographic section was obtained using an Imaging Studio software -Anne Solutions Version 3.401 profile line tool under a longitudinal axis, covering from the thickened cortex of the maxillary sinus to the alveolar cortical bone; wherefrom we selected 4 points, from 1 to 4, as described below (Figure 4), evidencing that the supposed injury, which invaginates to the interior of the maxillary sinus, had bone density similar to the bone of the alveolar ridge:…”

Section: Idiopathic Exostosismentioning

confidence: 99%

“…This article aims at describing an idiopathic and rare case of bilateral exostosis obtained by cone beam computed tomography-CBCT. 1,12,23,24,25…”

Section: Introductionmentioning

confidence: 99%

Idiopathic exostosis: rarity on maxillary sinus

Faria¹,

Vilela²,

Wendich³

et al. 2019

CRORJ

View full text Add to dashboard Cite

Palavras-chave:Exostose. Radiografia Panorâmica RESUMO Introdução: Exostoses nos seios paranasais têm sido muito mais relatados na literatura radiológica odontológica, apesar da extensa citação na literatura otorrinolaringológica. Objetivo: Neste relato de caso, encontramos uma exostose idiopática rara, que cresceu no seio maxilar. Relato de caso: Paciente negra de 68 anos, BGS, acompanhada pelo Serviço de Odontologia do Hospital do Câncer para tratamento de lesões orais (mucosite) e outras condições decorrentes da radioterapia e terapia hormonal (Tamoxifeno), apresentou neoplasia maligna da mama direita em 2015. Não foi realizada biopsia da exostose, pois a paciente está em tratamento e está sendo acompanhada pelo serviço do hospital. Realizaram-se radiografia panorâmica e exame clínico. Ao examinar os exames, foi possível notar uma imagem com dupla radiodensidade, mais radiopaca numa parte externa e menos radiopaca na parte interna, com aspecto de osso trabecular, circunscrito, unilocular, na região do pré-molar pediculado, no interior do seio maxilar esquerdo. Para melhor avaliação e hipótese diagnóstica, foi realizada uma tomografia computadorizada, aplicou-se uma ferramenta para mensuração da densidade do perfil da lesão, evidenciando-se que a suposta lesão invagina para o interior do seio maxilar e tinha densidade óssea semelhante ao osso da crista alveolar. Conclusão: Simultaneamente a outras lesões, as exostoses são lesões benignas, apresentam baixa agressividade e rara sintomatologia, sendo indicada exérese somente quando acomete a função, ou por motivos estéticos, ou quando não é possível a confecção de próteses. Muitos dos casos são diagnosticados de modo incidental e a partir de exames radiográficos de rotina em consultórios médicos ou odontológicos e devem ser acompanhados para análise e verificação de seu crescimento.ABSTRACT Introduction: Exostoses in the paranasal sinuses have been reported in a greater number in the dental radiological literature, despite the extensive citation in the otorhinolaryngology literature. Objective: This case report was a rare idiopathic expression that grew in the maxillary sinus. Case report: A 68-year-old black patient, BGS, followed up by the Odontology Service of Cancer Hospital for treating oral lesions (Mucositis) and other conditions resulting from radiation therapy and hormone therapy (Tamoxifen), presented malignant neoplasm at the right breast in 2015; an exostosis biopsy was not performed, since the patient is being treated and followed up by the hospital service. Panoramic radiography and clinical examination were performed. By analyzing the tests, it was possible to notice an image with double radiodensity, more radiopaque in the external portion and less radiopaque in the internal portion, with an aspect of trabecular bone, circumscribed, unilocular, in the region of pedunculated premolar, inside the left maxillary sinus. In order to have a better assessment and diagnostic hypothesis of the case, a CT scan was performed, a tool was applied to measure the...

show abstract

The prevalence of antral exostoses in the maxillary sinuses, evaluated by cone-beam computed tomography

Alkurt

Peker

Demirel

et al. 2016

Journal of Dental Sciences

View full text Add to dashboard Cite

Background/purpose Exostoses are outgrowths of normal compact and cancellous bone and may occur in different locations of the jaw. Exostoses are a rare anatomic variation in the maxillary sinuses. The purpose of this study was to investigate retrospectively the prevalence of location, size, shape, and symmetry of exostoses in the maxillary sinus, and to assess the relationship between demographic variables (i.e., age and sex) via cone-beam computed tomography images. Materials and methods Cone-beam computed tomography images of 1000 patients [521 (52.1%) females and 479 (47.9%) males], aged 10–85 years (mean age, 44 years), were examined. Two investigators examined the exostoses for location (i.e., inferior wall, medial wall, lateral wall, or posterior wall of the maxillary sinuses), size, shape (i.e., broad-based or mushroom-like), and symmetry (i.e., unilateral or bilateral). The age of the patients was categorized into three groups: 10–30 years, 31–50 years, and 51+ years. The data were statistically analyzed by using chi-square test, Fisher's exact test, and the t test. Results In total, 52 exostoses from 48 patients (4.8%) were identified. Exostoses were more common in females ( n = 28, 58.3%) than in males ( n = 20, 41.7%); however, there was no statistically significant difference between the sexes (P > 0.05). The presence of exostoses was very similar for all age groups with no statistically significant differences (P > 0.05). Conclusion Most exostoses were unilateral and on the inferior wall of the maxillary sinus. No statistically significant difference existed between the frequency and location of exostoses for sex or age groups (P > 0.05).

show abstract

Paranasal sinus exostoses: An unusual complication of topical drug delivery using cold nasal irrigations

Cited by 12 publications

References 8 publications

Idiopathic bilateral antral exostoses: A rare case in maxillary sinus

Idiopathic bilateral antral exostoses: A rare case in maxillary sinus

Idiopathic exostosis: rarity on maxillary sinus

The prevalence of antral exostoses in the maxillary sinuses, evaluated by cone-beam computed tomography

Contact Info

Product

Resources

About