Maxillary Sinus Pneumocele Presenting as Aesthetic Deformity: A Case Report With Literature Review

Abstract

We report an interesting case of maxillary sinus pneumocele that presented with aesthetic deformity and completely treated with Caldwell-Luc approach and thoroughly review all of the past literature focusing on clinical symptoms and surgical approach. Based on our comprehensive review of maxillary sinus pneumocele, we found 2 important characteristics. First, maxillary sinus pneumocele may be asymptomatic but cause various symptoms owing to the displacement of neighboring structures, such as facial symptoms, eye symptoms, and nasal obstruction. Second, there is no standard operation technique for maxillary sinus pneumocele, but surgical approach should be individualized depending on patient’s symptoms and needs. Therefore, more case studies are needed to confirm this.

Seltene Erkrankungen der Nase, der Nasennebenhöhlen und der vorderen Schädelbasis

“…Pneumoceles are extensions of a paranasal sinus beyond the normal borders. In contrast to pneumosinus dilatans, irregularities of the bony borders of the affected sinus with thinning and partly integrity loss are found 69 79 . The symptoms are similar to the ones of pneumosinus dilatans.…”

“…Pneumozelen sind Ausdehnungen einer Nasennebenhöhle über die normalen Grenzen hinaus. Im Gegensatz zum Pneumosinus dilatans finden sich Irregularitäten der knöchernen Begrenzung der betroffenen Nebenhöhle mit Ausdünnungen und teilweisem Integritätsverlust 69 79 . Die Symptome sind ähnlich wie bei einem Pneumosinus dilatans.…”