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Date Published: 15/11/2023
Abstract Views: 194
Views PDF: 109
DOI: https://doi.org/10.51298/vmj.v531i2.7176
Issue
Vol. 531 No. 2 (2023)
Section
Các bài báo
How to Cite
Trần , T. A. ., Trần, K. T., Phùng, Q. D. ., Nguyễn , T. P. ., & Trần , H. A. . (2023). CHOLESTEATOMA AND ECTOPIC TOOTH OF THE MAXILLARY SINUS: A CASE REPORT. Vietnam Medical Journal, 531(2). https://doi.org/10.51298/vmj.v531i2.7176

CHOLESTEATOMA AND ECTOPIC TOOTH OF THE MAXILLARY SINUS: A CASE REPORT

Tuấn Anh Trần 1,, Khắc Tài Trần1, Quang Duy Phùng1, Tiến Phát Nguyễn 1, Hoàng Anh Trần 2
1 Becamex hospital
2 Binh Duong hospital

Main Article Content

Abstract

Cholesteatoma and ectopic tooth in the maxillary sinus are relatively rare cases encountered in clinical practice and were first reported by Hutcheon in 1941 [1]. Accordingly, the clinical manifestations and radiographic characteristics of cholesteatoma in the maxillary sinus are difficult to differentiate from other pathological conditions. The clinical features include nasal obstruction, nasal discharge, headache, facial pain, and facial swelling. All of these symptoms are attributed to the extensive spread of the underlying damage, as the maxillary sinus lesions have already been identified and caused obstruction leading to sinusitis before the onset of facial swelling. Therefore, cholesteatoma is often complicated by concurrent infection, making it difficult to differentiate. In this case report, we present the case of a 53-year-old male patient admitted to the hospital due to right-sided facial pain, foul-smelling nasal discharge, prolonged nasal congestion, and poor response to internal medicine treatment. Clinical examination, nasal endoscopy combined with CT scanning of the maxillofacial region, revealed an acute episode of sinusitis, some ectopic teeth in the right maxillary sinus, and observed opacification, destruction of the anterior, posterior, and inferior walls of the right maxillary sinus. The patient underwent endoscopic sinus surgery combined with Caldwell-Luc procedure for tooth extraction and removal of the maxillary sinus lesion. The histopathological examination confirmed the diagnosis of maxillary sinus cholesteatoma. Through this clinical case, we report the clinical presentation, findings, and treatment outcomes to provide additional data for further research on this pathological condition in the future.

Article Details

Keywords

Cholesteatoma maxillary sinus, ectopic tooth in maxillary sinus, cholesteatoma.

References

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