Maxillary Sinus Ameloblastoma Presented With Only Sinus Pain

We found a "maxillary sinus tumor" in a patient who has been treated for sinusitis in different clinics for a long time


A 56-year-old female patient was diagnosed with chronic sinusitis in a different clinic where she presented with pain on the left maxillary sinus, and the patient was scheduled for anterior plan medical treatment and then functional endoscopic sinus surgery at there. The patient admitted us to schedule an operation for a simple endoscopic sinus surgery operation. Paranasal sinus tomography of the patient (before receiving medical treatment, in the presence of severe sinusitis) shows an opaque, irregular lesion originating from the left maxillary sinus floor. Thin-section paranasal sinus tomography, which was requested after the nasal and oral cortisone treatment given to the patient, revealed a massive tumoral lesion with a size of 14-12 mm, originating from the left maxillary sinus floor and compatible with "Ameloblastoma".

Paranasal Sinus Tumor,Sinus Pain,Maxillary Sinus Ameloblastoma,Mxillary Sinus Tumor,
Symptoms of paranasal sinus tumors can sometimes be almost the same as a simple sinusitis. Unfortunately, the diagnosis can be delayed with certain vague symptoms such as facial pain and infection in the affected sinuses. As in this patient, when the inside of the left maxillary sinus is filled with inflammatory secretion, it may be difficult to notice the tumoral mass or it may not be noticed if the tumor is too small. In case of accidental follow-up and medical treatment, it may cause the tumor to spread locally invasively. In the video above, a tumoral mass in the maxillary sinus is seen more clearly and distinctly after medical treatment.

Ameloblastoma is a rare epithelial tumor of odontogenic origin. Ameloblastoma is mostly seen in the mandible (80%), rarely in the maxilla (20%). It often originates from the periphery of the third molar tooth in the posterior mandible. Because the symptoms of other odontogenic and nonodontogenic jaw tumors are similar to ameloblastoma, difficulties arise in the differential diagnosis. Although it is thought to be a benign disease, it can grow rapidly and invade surrounding tissues. Because of the thinner cortical bone tissue in the maxilla, lesions located in the maxilla are more invasive and tend to spread more than those in the mandible. Midfacial degloving surgery can be applied under general anesthesia in its treatment. Radical maxillectomy operation may also be planned in order to reduce recurrence.

It is often diagnosed between the third and fourth decades. The lesion is painless and may cause expansion in the mandible with a slow growth rate. In radiological examinations, it is observed as an expanded, uni or multiloculated, radiolucent lesion that appears as soap bubbles (honeycomb appearance). It may extend into the surrounding soft tissue, causing erosion in the cortex.

Below you can find other tomography images of the patient. I took a photo directly on the laptop, a little blurry.

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain

Paranasal Sinus Tumor,Maxillary Sinus Ameloblastoma, Mxillary Sinus Tumor, Sinus Pain


Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com 
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47



  
 


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