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Organized hematoma of the maxillary sinus
Bong-Jae Lee1, Hyo-Jin Park, Seong-Cheol Heo
1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. bjlee@amc.seoul.kr
Acta Oto-Laryngologica
|October 25, 2003
Summary
Organized hematoma in the maxillary sinus is rare and presents with symptoms like frequent nosebleeds. This study details eight cases, highlighting clinical and radiologic features for accurate diagnosis and successful surgical treatment.
Area of Science:
- Otolaryngology
- Radiology
- Pathology
Background:
- Organized hematoma of the maxillary sinus arises from organized blood clots within the sinus.
- This condition is infrequently documented in medical literature.
Observation:
- Eight cases of maxillary sinus organized hematoma were reviewed.
- Clinical presentations included frequent epistaxis, nasal obstruction, hyposmia, headache, and facial swelling.
- Rhinoscopy showed nasal cavity obliteration, and CT scans revealed soft-tissue densities within the maxillary sinus.
Findings:
- Patients were a mean age of 58 years, with a 5:3 male to female ratio.
- All patients reported a history of frequent epistaxis.
- Surgical interventions, including Denker's operation, Caldwell-Luc's operation, and endoscopic surgery, yielded successful outcomes.
Implications:
- Organized hematoma should be considered in the differential diagnosis of maxillary sinus masses, especially with a history of epistaxis.
- Prompt diagnosis and surgical management lead to favorable patient outcomes.