Actinomycosis of the paranasal sinus

To report clinical characteristics and treatment outcomes of actinomycosis of the paranasal sinus. Retrospective review. The medical records of six patients with actinomycosis of the paranasal sinus between 1998 and 2006 were analyzed. There were no immunocompromised patients and all lesions were un...

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Veröffentlicht in:Otolaryngology-head and neck surgery 2008-09, Vol.139 (3), p.460-462
Hauptverfasser: Woo, Hyun-Jae, Bae, Chang Hoon, Song, Si-Youn, Choi, Yun Seok, Kim, Yong-Dae
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container_end_page 462
container_issue 3
container_start_page 460
container_title Otolaryngology-head and neck surgery
container_volume 139
creator Woo, Hyun-Jae
Bae, Chang Hoon
Song, Si-Youn
Choi, Yun Seok
Kim, Yong-Dae
description To report clinical characteristics and treatment outcomes of actinomycosis of the paranasal sinus. Retrospective review. The medical records of six patients with actinomycosis of the paranasal sinus between 1998 and 2006 were analyzed. There were no immunocompromised patients and all lesions were unilateral. Only one patient had a history of an oroantral fistula due to facial trauma. On CT scan, all patients had unilateral opacification of the maxillary sinus with focal calcified densities. All cases underwent endoscopic sinus surgery followed by relatively short-term antibiotic administration, and there was no recurrence. Chronic unilateral maxillary sinusitis, a calcified density in the involved sinus on radiological studies, and unresponsiveness to antibiotics are characteristics of actinomycotic sinusitis. Surgical removal of the involved tissues and the restoration of sinus ventilation seem to be important factors for treating the disease.
doi_str_mv 10.1016/j.otohns.2008.06.001
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subjects Actinomycosis - diagnosis
Actinomycosis - surgery
Ethmoid Sinusitis - diagnosis
Ethmoid Sinusitis - microbiology
Ethmoid Sinusitis - surgery
Female
Humans
Male
Maxillary Sinus - diagnostic imaging
Maxillary Sinusitis - diagnosis
Maxillary Sinusitis - microbiology
Maxillary Sinusitis - surgery
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed
title Actinomycosis of the paranasal sinus
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