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Published on: January 22, 2010
Organizing hematoma of the maxillary sinus
Hyung Min Song1, Yong Ju Jang, Yoo-Sam Chung
1Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea.
Summary
Organizing hematoma of the maxillary sinus (OHMS) presents with epistaxis and sinus opacification. Conservative surgical approaches yield excellent outcomes without recurrence, establishing OHMS as a distinct entity.
Area of Science:
- Otolaryngology
- Pathology
- Radiology
Background:
- Organizing hematoma of the maxillary sinus (OHMS) is a rare condition.
- Understanding its clinical presentation and surgical management is crucial.
Purpose of the Study:
- To describe the clinical features of OHMS.
- To evaluate the surgical outcomes for OHMS.
- To propose OHMS as a distinct pathological entity.
Main Methods:
- Retrospective chart review of 20 patients diagnosed with OHMS between 1990 and 2005.
- Analysis of clinical complaints, paranasal CT findings, and surgical procedures.
Main Results:
- Frequent epistaxis (70%) was the primary symptom.
- CT scans revealed unilateral maxillary opacification with potential bony destruction.
- Surgical treatments included sublabial and endonasal endoscopic approaches, with high success rates.
Conclusions:
- Conservative surgical techniques are effective for OHMS.
- Excellent outcomes and no recurrence were observed.
- The term OHMS is proposed for this rare sinus pathology.
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