Rare kissing antra of the maxillary sinuses: clinical implications

Purpose To report a rare anatomical variant of the maxillary sinuses, with radiological and clinical emphasis. Methods A 40-year-old male with recurrent acute rhinosinusitis presented to our center for clinical management. A computed tomography scan revealed the presence of an incidental anatomical...

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Veröffentlicht in:Surgical and radiologic anatomy (English ed.) 2024-12, Vol.47 (1), p.13
Hauptverfasser: Mohamed, Rowa A., Muneer, Mohamed S., Massoud, Tarik F.
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creator Mohamed, Rowa A.
Muneer, Mohamed S.
Massoud, Tarik F.
description Purpose To report a rare anatomical variant of the maxillary sinuses, with radiological and clinical emphasis. Methods A 40-year-old male with recurrent acute rhinosinusitis presented to our center for clinical management. A computed tomography scan revealed the presence of an incidental anatomical variant of bilateral maxillary sinuses for which we coin the term “kissing antra”. Results Kissing antra appearances on computed tomography consisted of enlarged bilateral palatine recesses of the maxillary antra that met in the midline across a narrow bony septum below the floor of the nasal cavity. The right palatonasal recess angle was markedly acute at 61° instead of the normal 90°. Conclusion Kissing antra of the maxillary sinuses are important for anatomists, radiologists and surgeons to be aware of, both as rare anatomical variants, as well as for their multiple clinical diagnostic and therapeutic implications that we discuss in this report.
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Methods A 40-year-old male with recurrent acute rhinosinusitis presented to our center for clinical management. A computed tomography scan revealed the presence of an incidental anatomical variant of bilateral maxillary sinuses for which we coin the term “kissing antra”. Results Kissing antra appearances on computed tomography consisted of enlarged bilateral palatine recesses of the maxillary antra that met in the midline across a narrow bony septum below the floor of the nasal cavity. The right palatonasal recess angle was markedly acute at 61° instead of the normal 90°. 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Muneer, Mohamed S. ; Massoud, Tarik F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1288-dc054219fad3292d368edcf4358999b28e955c335333dd6cc4d388bb84b5042d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Anatomic Variation</topic><topic>Anatomic Variations</topic><topic>Anatomy</topic><topic>Bones</topic><topic>Computed tomography</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Maxilla</topic><topic>Maxillary Sinus - abnormalities</topic><topic>Maxillary Sinus - diagnostic imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Nose</topic><topic>Orthopedics</topic><topic>Otolaryngology</topic><topic>Patients</topic><topic>Radiology</topic><topic>Rhinitis - diagnosis</topic><topic>Rhinitis - diagnostic imaging</topic><topic>Rhinosinusitis</topic><topic>Sinus</topic><topic>Sinuses</topic><topic>Sinusitis - diagnostic imaging</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mohamed, Rowa A.</creatorcontrib><creatorcontrib>Muneer, Mohamed S.</creatorcontrib><creatorcontrib>Massoud, Tarik F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mohamed, Rowa A.</au><au>Muneer, Mohamed S.</au><au>Massoud, Tarik F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rare kissing antra of the maxillary sinuses: clinical implications</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2024-12-02</date><risdate>2024</risdate><volume>47</volume><issue>1</issue><spage>13</spage><pages>13-</pages><issn>0930-1038</issn><issn>1279-8517</issn><eissn>1279-8517</eissn><abstract>Purpose To report a rare anatomical variant of the maxillary sinuses, with radiological and clinical emphasis. Methods A 40-year-old male with recurrent acute rhinosinusitis presented to our center for clinical management. A computed tomography scan revealed the presence of an incidental anatomical variant of bilateral maxillary sinuses for which we coin the term “kissing antra”. Results Kissing antra appearances on computed tomography consisted of enlarged bilateral palatine recesses of the maxillary antra that met in the midline across a narrow bony septum below the floor of the nasal cavity. The right palatonasal recess angle was markedly acute at 61° instead of the normal 90°. 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subjects Adult
Anatomic Variation
Anatomic Variations
Anatomy
Bones
Computed tomography
Humans
Imaging
Male
Maxilla
Maxillary Sinus - abnormalities
Maxillary Sinus - diagnostic imaging
Medicine
Medicine & Public Health
Nose
Orthopedics
Otolaryngology
Patients
Radiology
Rhinitis - diagnosis
Rhinitis - diagnostic imaging
Rhinosinusitis
Sinus
Sinuses
Sinusitis - diagnostic imaging
Surgery
Tomography
Tomography, X-Ray Computed
title Rare kissing antra of the maxillary sinuses: clinical implications
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