Differential diagnosis for an unusual calcification in the maxillary sinus: case report
ABSTRACT The aim of this study was to report a rare case of an asymptomatic calcification of unusual size and shape, inside the maxillary sinus identified on a cone beam computed tomography exam and to discuss the importance of knowledge of the anatomy of maxillary sinus and its changes carefully ev...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Faculdade São Leopoldo Mandic
2022-09-01
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| Series: | RGO: Revista Gaúcha de Odontologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100807&tlng=en |
| _version_ | 1797792712732180480 |
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| author | Matheus HERREIRA-FERREIRA Gustavo Nascimento de SOUZA-PINTO Elen de Souza TOLENTINO Mariliani CHICARELLI Lilian Cristina Vessoni IWAKI |
| author_facet | Matheus HERREIRA-FERREIRA Gustavo Nascimento de SOUZA-PINTO Elen de Souza TOLENTINO Mariliani CHICARELLI Lilian Cristina Vessoni IWAKI |
| author_sort | Matheus HERREIRA-FERREIRA |
| collection | DOAJ |
| description | ABSTRACT The aim of this study was to report a rare case of an asymptomatic calcification of unusual size and shape, inside the maxillary sinus identified on a cone beam computed tomography exam and to discuss the importance of knowledge of the anatomy of maxillary sinus and its changes carefully evaluating the entire volume of the images, regardless of the region of interest. An 83-year-old female patient underwent a cone beam computed tomography exam for other diagnostic purposes in the maxillofacial region. When analyzing the entire volume, an image of unusual limits, hyperdense and calcified was found in the right maxillary sinus, close to the anterior and medial wall, with a rounded and homogeneous shape, occupying approximately one third of the maxillary sinus. There was no lytic or erosive lesions on the maxillary sinus wall. The main diagnostic hypotheses raised were giant anthrolith, mucous retention phenomenon and osteoma. Due to the anatomical complexity of the maxillary sinus, diagnosis in this region becomes a challenge. Considering the limitations of 2D exams, the cone beam computed tomography exam can be used to evaluate these structures. Knowledge of differential hypotheses is extremely important for the case to be conducted correctly, but it does not replace biopsy and histopathological examination. |
| first_indexed | 2024-03-13T02:37:48Z |
| format | Article |
| id | doaj.art-d51de99a56414177b77e2ba9a141d5ba |
| institution | Directory Open Access Journal |
| issn | 1981-8637 |
| language | English |
| last_indexed | 2024-03-13T02:37:48Z |
| publishDate | 2022-09-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj.art-d51de99a56414177b77e2ba9a141d5ba2023-06-28T23:16:41ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372022-09-017010.1590/1981-86372022002220200187Differential diagnosis for an unusual calcification in the maxillary sinus: case reportMatheus HERREIRA-FERREIRAhttps://orcid.org/0000-0002-2829-9505Gustavo Nascimento de SOUZA-PINTOhttps://orcid.org/0000-0002-6509-4998Elen de Souza TOLENTINOhttps://orcid.org/0000-0002-4352-4694Mariliani CHICARELLIhttps://orcid.org/0000-0002-0024-7471Lilian Cristina Vessoni IWAKIhttps://orcid.org/0000-0002-1822-3056ABSTRACT The aim of this study was to report a rare case of an asymptomatic calcification of unusual size and shape, inside the maxillary sinus identified on a cone beam computed tomography exam and to discuss the importance of knowledge of the anatomy of maxillary sinus and its changes carefully evaluating the entire volume of the images, regardless of the region of interest. An 83-year-old female patient underwent a cone beam computed tomography exam for other diagnostic purposes in the maxillofacial region. When analyzing the entire volume, an image of unusual limits, hyperdense and calcified was found in the right maxillary sinus, close to the anterior and medial wall, with a rounded and homogeneous shape, occupying approximately one third of the maxillary sinus. There was no lytic or erosive lesions on the maxillary sinus wall. The main diagnostic hypotheses raised were giant anthrolith, mucous retention phenomenon and osteoma. Due to the anatomical complexity of the maxillary sinus, diagnosis in this region becomes a challenge. Considering the limitations of 2D exams, the cone beam computed tomography exam can be used to evaluate these structures. Knowledge of differential hypotheses is extremely important for the case to be conducted correctly, but it does not replace biopsy and histopathological examination.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100807&tlng=enCalcinosisCone beam computed tomographyDiagnosisMaxillary sinus |
| spellingShingle | Matheus HERREIRA-FERREIRA Gustavo Nascimento de SOUZA-PINTO Elen de Souza TOLENTINO Mariliani CHICARELLI Lilian Cristina Vessoni IWAKI Differential diagnosis for an unusual calcification in the maxillary sinus: case report RGO: Revista Gaúcha de Odontologia Calcinosis Cone beam computed tomography Diagnosis Maxillary sinus |
| title | Differential diagnosis for an unusual calcification in the maxillary sinus: case report |
| title_full | Differential diagnosis for an unusual calcification in the maxillary sinus: case report |
| title_fullStr | Differential diagnosis for an unusual calcification in the maxillary sinus: case report |
| title_full_unstemmed | Differential diagnosis for an unusual calcification in the maxillary sinus: case report |
| title_short | Differential diagnosis for an unusual calcification in the maxillary sinus: case report |
| title_sort | differential diagnosis for an unusual calcification in the maxillary sinus case report |
| topic | Calcinosis Cone beam computed tomography Diagnosis Maxillary sinus |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100807&tlng=en |
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