Primary bilateral maxillary sinus tuberculosis: a rare and an underdiagnosed entity

Tuberculous granuloma of maxillary antrum and ethmoid sinus mimicking malignancy and trigeminal neuralgia: A case report and review of the literature

“…Involvement of the paranasal sinuses is rare 1 due to the protective functions of the sinonasal mucosa. 2 Most of the cases of paranasal sinus tuberculosis occur secondary to pulmonary tuberculosis. 2,3 Tuberculous granuloma of paranasal sinuses is uncommon and only a few cases are reported.…”

“…10 Due to its non-specific clinical presentations, there is diagnostic dilemma and therapeutic delay. 2 Maxillary sinus tuberculosis resembles other granulomatous or neoplastic diseases 1 and remains an under-diagnosed entity. 1,2 We are reporting an unusual case of tuberculous granuloma of maxillary antrum and ethmoid sinus presenting with clinical pictures suggestive of malignancy.…”

“…2 Most of the cases of paranasal sinus tuberculosis occur secondary to pulmonary tuberculosis. 2,3 Tuberculous granuloma of paranasal sinuses is uncommon and only a few cases are reported. Paranasal tuberculosis remains asymptomatic until well-advanced 3 and presents with non-specific symptoms and signs mimicking other clinical conditions.…”

“…Paranasal tuberculosis remains asymptomatic until well-advanced 3 and presents with non-specific symptoms and signs mimicking other clinical conditions. Patients may present with various symptoms like nasal obstruction, nasal discharge, 1,4 epistaxis, 1,3 facial swelling, 1,2 postnasal drip, hyposmia, headache, 4 ulceration at the nasal vestibule, 5 drooping of eyelid, facial numbness, 6 eye discharge, 7 proptosis, 7,8 reduced vision 9 or loosening of teeth. 10 Due to its non-specific clinical presentations, there is diagnostic dilemma and therapeutic delay.…”