Atelectasia maxilar crónica bilateral con resolución espontánea

Abstract

RESUMEN La atelectasia maxilar crónica (AMC) es una condición adquirida y rara

Chronic Maxillary Atelectasis and Silent Sinus Syndrom: Report of Three Cases and Literature Review

“…If septal deviation, septoplasty can be performed in the same act, as demonstrated by Darghal et al in four of the eleven patients presented [11], and as was done in our patient in Case 2. Intraoperatively, much attention is needed when there is a lateralisation of the uncinate process when there is hypoglobus, as its incorrect identification can lead to eye damage [7]. Fortunately, none of the reported patients had ocular complications, only one of them had mild epistaxis and synechia, that were resolved.…”

“…Considering this, we can classify our patients here described as having CMA (cases 1 and 2 as stage II and case 3 as stage III), since two of them had significant complaints of facial pain and one of hyposmia. Therefore, it is clear that sinonasal symptoms have a fundamental role in this differentiation, which even justifies the "silent" course of SSS [7]. However, it is observed that at least one-half of the cases described as CMA or SSS have a similar history of mild rhinosinusitis, showing a lack of padronization in the literature [1].…”

“…The treatment of these cases is basically through surgery, consisting of reopening the maxillary sinus and removing the obstructive factor to restore ventilation and intrasinusal pressure [8]. Historically, the Caldwell-Luc procedure for maxillary sinus had been used in the past, but today, with advances in functional endoscopic sinus surgery (FESS), anthrostomy with uncinectomy or total ethmoidectomy has been stated as the best treatment option [2,7]. If septal deviation, septoplasty can be performed in the same act, as demonstrated by Darghal et al in four of the eleven patients presented [11], and as was done in our patient in Case 2.…”