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Updated: Jun 19, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Published on: June 20, 2018

Bone chip-induced rhinosinusitis.

Brian K Reilly¹, David B Conley

¹Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. breilly@gmail.com

The Laryngoscope

|October 31, 2009

Summary

This summary is machine-generated.

This case report details chronic rhinosinusitis management, focusing on a unique case of maxillary rhinosinusitis with a bone chip. Surgical removal of the calcification resolved the infection and restored sinus function.

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Area of Science:

Otolaryngology
Medical Imaging
Surgical Pathology

Background:

Chronic rhinosinusitis (CRS) presents a significant clinical challenge.
Maxillary sinus pathology requires precise diagnosis and targeted treatment.

Observation:

A rare case of chronic maxillary rhinosinusitis involved a free-floating calcification within the sinus.
Computed tomography (CT) imaging was crucial for identifying the bone chip and associated pathology.

Findings:

Endoscopic sinus surgery successfully removed the uncinate and enlarged the maxillary sinus ostium.
Excision of the calcified bone chip eliminated the source of chronic infection.

Implications:

This case highlights the importance of identifying and removing foreign bodies or calcifications in CRS.
Restoration of mucociliary flow post-surgery indicates effective management of chronic maxillary rhinosinusitis.