Pneumosinus dilatans multiplex associated with hormonal imbalance

Ushas, P; Ravi, Vinod; Painatt, Jaeson Mohanan; Nair, Preeti P

doi:10.1136/bcr-2013-010345

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…On the other hand, the discomfort caused by PD can reduce the patients' QoL (31) , which can further aggravate the patients' depression. In addition, some studies have suggested that patients with PD have changes in hormones in the body that can cause depression (32,33) ; therefore we assume that lesions in the frontal sinus can cause depression in the same way.…”

Section: Discussionmentioning

confidence: 97%

Associations of Symptomatic- and Anatomical-Based Severity of Chronic Rhinosinusitis With Patients' Anxiety and Depression

Lei

Sun

Yao

et al. 2021

Preprint

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Background Patients with chronic rhinosinusitis (CRS) have a high incidence rate of anxiety and depression. However, changes in anxiety and depression with different severities of CRS,and the effects of symptoms and anatomical factors on the anxiety and depression of CRS patients remain unclear.Methods A total of 112 patients were enrolled in the study. The Sino-Nasal Outcome Test-20 (SNOT-22) score, Lund-Mackay scale and Lund-Kennedy scale were used to assess the severity of CRS, and the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used to evaluate anxiety and depression in patients. Results In the univariate analysis, SNOT-20 scores, nasal symptom scores, facial/ear symptom scores and sleep scores are significantly positively correlated with patients’ GAD-7 scores (all P<0.05); the patients’ SNOT-20 scores, nasal symptom scores, facial/ear symptom scores, sleep scores, and the higher side of the anterior ethmoid sinus and frontal sinus Lund-Mackay scores were significantly positively correlated with the patients’ PHQ-9 scores (all P<0.05). In a multivariate linear regression model, however, none of the covariates were found to be statistically associated with GAD-7. Another multivariate model indicated associations among the SNOT-20 sleep domain scores, the higher side of frontal sinus Lund- Mackay scores and PHQ-9 scores (both P < 0.01). Conclusions Exacerbated nasal and facial/ear symptoms, sleep dysfunction increase patients’ depression and anxiety. Lesions of the frontal sinus and anterior ethmoid sinus may be related to patients' depression. Treatment should be tailored to patients with these symptoms.

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Section: Discussionmentioning

confidence: 97%

Associations of Symptomatic- and Anatomical-Based Severity of Chronic Rhinosinusitis With Patients' Anxiety and Depression

Lei

Sun

Yao

et al. 2021

Preprint

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“…In addition, PSD affecting all paranasal sinuses as well as the mastoid cells has been described as PSD multiplex. 7,10,11…”

Section: Discussionmentioning

confidence: 99%

“…In addition, PSD affecting all paranasal sinuses as well as the mastoid cells has been described as PSD multiplex. 7,10,11 In our literature review, 29 cases involving the maxillary sinus were identified, 19 cases of which were described as PSD, 7 as pneumocele, 2 as air cyst, and 1 as PSD multiplex (Table 1).…”

Section: Nomenclaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…5 The etiology of this condition is poorly understood, and many theories have been hypothesized, including ball-valve mechanism, fibro-osseous dysregulation, gas-forming bacteria, and even genetics. 6,7 Maxillary involvement was first reported by Noyek and Zizmor 8 as a "pneumocele." To date, 29 cases of maxillary sinus dilatation have been reported in the literature under different terms such as "pneumosinus dilatans," "pneumocele," and "air cyst.…”

Section: Introductionmentioning

confidence: 99%

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Maxillary Pneumosinus Dilatans Presenting With Proptosis: A Case Report and Review of the Literature

Alatar

AlSuliman

Alrajhi

et al. 2019

Clin Med Insights Ear Nose Throat

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Background:Pneumosinus dilatans (PSD) is a rare pathological paranasal sinus expansion. This condition is usually symptomatic or cosmetically apparent, requiring surgical intervention. Multiple hypotheses have been postulated as to the cause of this condition; however, the precise cause and pathogenesis remain obscure.Case report and Methods:An 11-year-old boy presented with right eye bulging and was subsequently found to have PSD of the maxillary sinus. A search was conducted of the PubMed electronic database, using the keywords “pneumosinus dilatans,” “pneum(oco)ele,” “pneum(oc)ele,” “pneum(atoco)ele,” and “air cyst.” Articles published in English were reviewed.Results:The literature review identified 29 cases of PSD involving the maxillary sinus. The mean age of presentation was 25 years old. Only the right maxillary sinus was affected in 16 cases, followed by the bilateral sinuses in 7 cases and the left sinus in 6 cases. In 5 cases, all paranasal sinuses, along with the maxillary sinus, were expanded. The most common presenting symptom was facial swelling, which was found in 55% of the cases, followed by proptosis and pain. Computed tomography is the gold standard radiological method for diagnosing PSD.Conclusions:Pneumosinus dilatans is a rare condition that is usually symptomatic and requires surgical intervention. The etiology of the disease is attributed to multiple hypotheses, but more studies are needed to explore this condition further.

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Pneumosinus dilatans of the spheno-ethmoidal complex associated with hypovitaminosis D causing bilateral optic canal stenosis

et al. 2017

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Pneumosinus dilatans multiplex associated with hormonal imbalance

Cited by 10 publications

References 15 publications

Associations of Symptomatic- and Anatomical-Based Severity of Chronic Rhinosinusitis With Patients' Anxiety and Depression

Associations of Symptomatic- and Anatomical-Based Severity of Chronic Rhinosinusitis With Patients' Anxiety and Depression

Maxillary Pneumosinus Dilatans Presenting With Proptosis: A Case Report and Review of the Literature

Pneumosinus dilatans of the spheno-ethmoidal complex associated with hypovitaminosis D causing bilateral optic canal stenosis

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