A case of odontogenic maxillary sinusitis with sulfur granules of actinomyces.

DOI 7 Citations 16 References
  • YAMAZAKI Miki
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • SUMITANI Kaname
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • ITO Daisuke
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • IWASE Masayasu
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • TACHIKAWA Tetsuhiko
    Oral Pathology, School of Dentistry, Showa University
  • NAGUMO Masao
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

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  • 放線菌菌塊がみられた歯性上顎洞炎の１例

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Abstract

We describe a case of odontogenic maxillary sinusitis with sulfur granules suspected to be actinomyces. An 86-year-old woman was referred to our hospital for evaluation and treatment of nasal discharge. The clinical diagnosis was odontogenic maxillary sinusitis. We extracted the right maxillary first and second molars. After extaction, the socket was opened to enter the right maxillary sinus.We obtained granulation tissue with sulfur granules from the bottom of the maxillary sinus. Histopathological examination revealed the presence of actinomyces. We irrigated the maxillary sinus with saline from the extraction socket. As of 2 months after the operation, no signs or symptoms have been observed clinically or radiographically.

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