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Pneumosinus dilatans: is it more than an aesthetic concern?
Naman S Desai1, Sachin S Saboo, Ashish Khandelwal
1From the *Department of Radiology, Brigham and Women's Hospital and Harvard Medical School; and †Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
The Journal of Craniofacial Surgery
|February 25, 2014
Summary
Pneumosinus dilatans (PD), a sinus hyperaeration condition, often presents aesthetically but can signal serious underlying issues. Recognizing PD is crucial for diagnosing associated intracranial tumors and other pathologies.
Area of Science:
- Otolaryngology
- Neurosurgery
- Radiology
Background:
- Pneumosinus dilatans (PD) involves paranasal sinus hyperaeration, potentially causing bone deformation.
- While often aesthetic, PD can be linked to serious conditions like intracranial tumors.
Purpose of the Study:
- To characterize Pneumosinus dilatans (PD) through a meta-analysis of reported cases.
- To identify and categorize conditions associated with PD.
Main Methods:
- Conducted a meta-analysis of all available clinical publications on PD.
- Categorized patients based on sinus involvement and associated conditions.
Main Results:
- 123 PD cases reported; frontal sinus most common (63%).
- Frontal PD linked to 25% intracranial pathology; sphenoid/ethmoid PD associated with visual loss, tumors, or cysts (83%).
Conclusions:
- PD, though often aesthetic, frequently has associated diagnoses.
- Healthcare providers must recognize PD for timely evaluation and diagnosis of potential associated conditions.
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