RESUMO
Several sinonasal anatomical variants may be related to the etiology of acute rhinosinusitis. The same is true with intrusion of teeth into the maxillary sinus cavity. Patients with acute rhinosinusitis not responding to maximal medical treatment were prospectively enrolled. Deviation of the nasal septum towards the infected sinus may be associated with the pathogenesis of refractory acute rhinosinusitis. Intrusion of teeth into the maxillary sinus is a common finding and is not necessarily associated with the formation of sinusitis.
Assuntos
Rinite/diagnóstico por imagem , Sinusite/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Doença Aguda , Adulto , Distribuição de Qui-Quadrado , Feminino , Humanos , Masculino , Estudos Prospectivos , Rinite/terapia , Sinusite/terapiaRESUMO
Type 1 congenital plasminogen deficiency (CPD) is a rare autosomal recessive disease which causes formation of fibrin pseudomembranes that affect multiple systems/organs: the eyes, respiratory system, urinary and genital systems, gastrointestinal system, and the central nervous system. We present a rare manifestation of the disease-severe upper airway obstruction due to a rapidly growing mass in the supraglottic region-6 months after dental treatment under general anesthesia. The management of such a manifestation has not been discussed in the current literature. Due to deterioration in his clinical status, the patient eventually underwent both a tracheotomy in order to bypass the obstruction, and excision of the supraglottic mass. Within a few days the mass recurred with complete obstruction of the upper airway.