By James A. Duncavage, Samuel S. Becker
This common reference and accompanying DVDs, authored via a group of the world over well-known specialists, current the most recent treatment plans for the maxillary ...
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Extra info for The maxillary sinus: medical and surgical management
They are expansile in nature and, unlike retention cysts, are more commonly symptomatic. On CT, mucoceles typically occupy the entire sinus and expand it. A localized mucocele may fill and expand a compartment within a sinus, such as a Haller cell, or may construct its own space in conjunction with a bony septation. Localized mucoceles may appear similar to retention cysts; however, retention cysts do not expand and thin bone, whereas mucoceles do (Fig. 28). Antrochoanal polyps (Fig. 7). 44 Radiologically, there is often complete or near-complete opacification of the maxillary sinus by the antrochoanal polyp alone or in combination with sinus infection or secretions.
Catarrhalis remain the most frequent isolates; however, M. 21,22 M. catarrhalis infection is spread by respiratory aerosol; so day-care and school settings may account for the relative increased prevalence compared with adults. ■ Bacteriology of Chronic Maxillary Sinusitis Adults Bacteria are believed to play a major role in the pathogenesis of chronic maxillary sinusitis, although the disease is more heterogeneous than the acute form. In many cases, an underlying inflammatory process may predispose the patient to bacterial colonization, rather than the bacterial infection initiating the inflammation.
They occur anywhere on a mucosal surface, including along complete or incomplete bony septations in the maxillary sinus (Fig. 2). 6). Mucoceles are cysts lined by flattened, pseudostratified, ciliated columnar epithelium. They are expansile in nature and, unlike retention cysts, are more commonly symptomatic. On CT, mucoceles typically occupy the entire sinus and expand it. A localized mucocele may fill and expand a compartment within a sinus, such as a Haller cell, or may construct its own space in conjunction with a bony septation.
The maxillary sinus: medical and surgical management by James A. Duncavage, Samuel S. Becker