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Actinomycosis of the paranasal sinus

Hyun-Jae Woo1, Chang Hoon Bae, Si-Youn Song

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Nam-Gu, Daegu, Republic of Korea.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|August 30, 2008
PubMed
Abstract

Insights

Actinomycosis of the paranasal sinus, often presenting as unilateral maxillary sinusitis with calcified densities, typically responds well to surgical intervention and antibiotics, with no recurrence observed in this study.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Radiology

Background:

  • Actinomycosis is a rare bacterial infection that can affect various parts of the head and neck, including the paranasal sinuses.
  • Clinical presentation and optimal treatment strategies for paranasal sinus actinomycosis require further elucidation.

Purpose of the Study:

  • To describe the clinical features and treatment outcomes of patients diagnosed with actinomycosis affecting the paranasal sinus.

Main Methods:

  • A retrospective review of medical records was conducted.
  • Data from six patients with paranasal sinus actinomycosis diagnosed between 1998 and 2006 were analyzed.

Main Results:

  • All six patients were immunocompetent, and the lesions were unilateral.
  • CT scans revealed unilateral maxillary sinus opacification with focal calcified densities in all cases.
  • Endoscopic sinus surgery followed by short-term antibiotic therapy resulted in no recurrence.

Conclusions:

  • Key indicators of actinomycotic sinusitis include chronic unilateral maxillary sinusitis, calcified densities on imaging, and resistance to antibiotic therapy.
  • Surgical debridement of infected tissues and restoration of sinus drainage are crucial for successful treatment.

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