• The Journal of Korean Medicine
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• v.15 no.2 s.28
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• pp.113-121
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• 1994

We report 12 cases of paranasal sinusitis by the treatment of oriental medicines. Showing discharge from the nose. paranasal sinusitis is termed BIYEON(鼻淵) in the oriental medicine. Most of patient took GAMIBANGPUNGTONGSEONGSAN(加味防風通聖散). reported effect of antiphlogosis. antihistamine and antibiosis, for about five months. As a result the symptoms of paranasal sinusitis subsided. The radiographic diagnosis of sinusitis is generally based on opacification of the paranasal sinuses. Most of patients change the opacity of the maxillary sinuses on X-ray film in Water's view and Caldwell view by the treatment of Oriental medicine. We conclud that herbal medicines effect paranasal sinusitis.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.12.4-12
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• 1981

Inverted papilloma of the nose and paranasal sinuses is a rare and benign neoplasm, which has been classified as a true neoplasm by most authors. The most characteristic microscopic feature of inverted papilloma is an increase in thickness and proliferation of the covering epithelium with extensive finger-like inversion into the underlying stroma. Radical aggressive treatment and careful follow up have been advocated in view of the high recurrence rate after inadequate removal and the possibility of malignant transformation. The authors have recently experienced a case of huge inverted papilloma which occupied the left side of nasal cavity, maxillary sinus and ethmoid sinus. A 64 year old female patient who had been suffering from nasal obstruction, hyposmia, headache and frequent nasal bleeding since about 3 years. The patient had had removal surgery as Caldwell-Luc approach with good postoperative effect.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.13.2-13
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• 1981

Authors was experienced a case of mucocele in the left frontal sinus. A 24-years-old Korean male soldier was admitted to C.A.F.G.H. on 16th May 1980, with chief complaints of dull headache, exophthalmos, visual disturbance and intermittent epistaxis on the left side. On physical examination, left turbinates and septum were revealed hyperemic middle turbinate with blood tinged spots and deviated slightly to right side, and felt round, smooth, rubbery painless swelling within the orbit at the left inner canthus. The left orbital contents was displaced laterally producing proptosis with diplopia. On the radiological examination, Caldwell and Water's view showed hazy density in medial side of left orbital and left frontal sinus. Tomography of orbit showed hazy increased mass density with rather sharply defined outer margin of left bony orbit probably due to compressive erosion. The case was treated with surgical removal of the Lynch frontal approach, so present this case with a brief review of the literature.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.32 no.5
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• pp.473-477
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• 2010

Organized hematoma of the maxillary sinus is a rare, nonneoplastic benign lesion with locally destructive behavior that may mimic a malignancy. Clinically, symptoms do not usually occur while the lesion remains localized to the maxillary sinus. Because there is gradual enlargement of the lesion causing erosion and displacement of the adjacent bony structures, symptoms such as epistaxis, cheek swelling, nasal obstruc-tion, headache, and exophthalmos become manifest. Radiologically, unilateral cases are much more fre-quent than bilateral, and Waters' view shows complete opacity of the expanded maxillary sinus and some masses. CT scan shows a large heterogeneous enhancing mass causing considerable expansion of the max-illary sinus with bony erosion. On MR imaging, the mass usually has a variable signal intensity on T1- and T2- weighted images, ranging from low to high. After contrast administration, discrete areas of enhance-ment are present within the mass. Although the disease is essentially benign and nonneoplastic, differen-tial diagnosis from neoplastic disease including malignancy both clinically and radiologically has been always problematic. Accurate preoperative diagnosis of organized hematoma of the maxillary sinus is important to avoid unnecessary extensive surgery, because this condition is curative with a simple, conservative surgical approach and rarely recur. Organized hematoma of the maxillary sinus should be included in the differential diagnosis when patients have recurrent epistaxis, slow-growing mass of the cheek, nasal obstruction, and expansile mass in the maxillary sinus. A 33-year-old man was referred to the department of oral and maxillofacial surgery with a three-month history of slowly growing painful swelling of the left cheek. The mass of the maxillary sinus was resected by a Caldwell-Luc approach. Histopahtoly showed only a fibous encapsulated organized hematoma. To our knowledge, organized hematoma of the maxillary sinus has not been previously described in the Korean literature of the oral and maxillofacial surgery. We report a case of organized hematoma of the maxillary sinus presenting with an enlarging maxillary sinus mass.