Pneumosinus Dilatans Frontalis: A Case Report

Riu, Giacomo De; Bay, Alessandro; Tullio, Antonio

doi:10.1177/014556130508401220

Cited by 14 publications

(6 citation statements)

References 13 publications

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“…The frontal sinus seems to be the most affected. However, the sphenoid sinus, maxillary sinus, and ethmoid cells may also be impacted 3 . The sphenoidal sinus and the posterior ethmoid sinus are the most important for vision loss, this is due to their relationship with the optic nerve through its intimate relationships with the optic nerve canal 12 .…”

Section: Discussionmentioning

confidence: 99%

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Pneumosinus dilatans: Our experience and literature review

Tarabichi

Patrascu

Sarafoleanu

2023

Romanian Journal of Rhinology

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Pneumosinus dilatans (PSD) is a rare disorder that causes aberrant paranasal sinus dilation. Pneumosinus dilatans is typically benign and asymptomatic, without any evidence of bone destruction or pathologic changes in the underlying mucosa. Localized discomfort, headaches, facial paraesthesia and deformities, sensory deficits, olfactory loss, and ocular abnormalities are common complaints. The diagnosis of PSD is confirmed by the radiological investigations. The surgical treatment’s objective is to return both form and function of the affected sinus to normal. We briefly present our experience with pneumosinus dilatans and discuss the characteristics of this disease based on the specialised literature.

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Section: Discussionmentioning

confidence: 99%

“…There is no evidence of bone destruction or pathologic changes in the underlying mucosa, and its etiology is still unknown 3 . There have been many different hypotheses and theories that described the production mechanism of PSD.…”

Section: Introductionmentioning

confidence: 99%

Pneumosinus dilatans: Our experience and literature review

Tarabichi

Patrascu

Sarafoleanu

2023

Romanian Journal of Rhinology

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“…These recommendations are based on the most prominent theories on PD etiology to date. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] (Supplemental Table 4, http://links.lww.com/SCS/C316) Given the possibility it might be caused by fibro-osseous dysplasia or hormone dysregulation (both supported theories in the literature) obtaining baseline blood tests (serum electrolytes, serum calcium levels, ionized calcium levels, thyroid panel, intact parathyroid hormone, testosterone, estrogen, HGH) at this stage is also appropriate in case this is the causative mechanism, which can halt or reverse the progression. 5,19,[24][25][26][27]31,32 (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Ductal ostia may be blocked due to chronic inflammation, ostial polyps, aberrant cells, or redundant mucosa, and proper endoscopic treatment may restore ductal patency and halt the progression of sinus dilatation. 16,28 If obstruction is present endoscopic decompressions with evaluation and possible treatment of any ductal pathology should be considered. 28 If non-obstructed and the patient only presents with a cosmetic complaint, then frontal bone contouring can be considered.…”

Section: Discussionmentioning

confidence: 99%

Pneumosinus Dilatans: A Novel Algorithm for its Classification and Management

Ricci¹

2021

Journal of Craniofacial Surgery

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Background: Pneumosinus dilatans (PD) is a rare condition in which one or more paranasal sinuses are pathologically hyperaerated. Patients commonly present with an aesthetic complaint, however it has been associated with several serious conditions. The etiology is largely theoretical and the management remains unstandardized, potentially leading to missed diagnoses. This article aims to establish a presumptive classification scheme and management algorithm based on a comprehensive review of the literature. Materials and Methods: A systematic review of all available publications on the search term ''Pneumosinus dilatans'' was conducted in PubMed. Associated conditions were identified and clustered based on the number and anatomic location of the sinuses involved. The resultant data was used to formulate an evidencebased algorithm for the evaluation and management of PD patients. Results: A total of 145 patients from 103 articles were included. The majority of patients were male (57.2%) with an average age of 32.6 years-old at onset. The frontal sinus was most commonly involved (62.8%) and one pathologic sinus was most common (84.6%). 51% of patients presented with an associated condition; with it least common in frontal sinus PD (29.7% cases) and most common in ethmoid sinus PD (81.5%). To date, no articles to date have proposed a management algorithm for PD based on the number or location of sinus involved. Conclusions: A standardized evidence-based management algorithm and classification scheme for patients with PD will not only lead to the highest-quality treatment, but will also be instrumental in elucidating an etiology for this rare, and potentially serious, condition.

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“…In most cases the frontal sinus is involved 6 . However, the maxillary sinus, ethmoidal cells, and the sphenoid sinus can also be affected 7 .…”

Section: Introductionmentioning

confidence: 99%

Pneumosinus dilatans associated with infantile cerebral palsy and nasal polyposis: Case report

Lugo-Machado

Enríquez

Pérez

et al. 2021

Romanian Journal of Rhinology

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Pneumosinus dilatans is a rare disease characterized by air-filled expansion of a paranasal sinus. Approximately 134 cases are reported in the literature, but not only one associated with infantile cerebral palsy (ICP) and nasal polyposis. We herein present this case report aimed to further characterize this uncommon condition: a 28-year-old female diagnosed with infantile cerebral palsy and nasal polyposis, in whom the cranio-facial CT scan revealed the association of a pneumosinus dilatans involving the frontal sinus. The patient is currently undergoing a protocol for endoscopic surgery of the nose and paranasal sinuses.

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Pneumosinus Dilatans Frontalis: A Case Report

Cited by 14 publications

References 13 publications

Pneumosinus dilatans: Our experience and literature review

Pneumosinus dilatans: Our experience and literature review

Pneumosinus Dilatans: A Novel Algorithm for its Classification and Management

Pneumosinus dilatans associated with infantile cerebral palsy and nasal polyposis: Case report

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