Pneumosinus dilatans is a rare, generally benign, asymptomatic disease of unknown etiology that is characterized by the enlargement of one or more paranasal sinuses without any sign of bone loss or pathological alterations to the mucosa beneath.[1]
| Pneumosinus dilatans | |
|---|---|
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| Lateral view paranasal sinus |
Signs and symptoms edit
The displaced structures are usually associated with clinical symptoms. The typical symptoms of outward expansion are prominence of the supraorbital ridge and frontal bossing. The expansion could be focused on the orbit, nose, and other sinuses, or it could go intracranially. Sinus pressure, diplopia, ocular abnormalities, anosmia, and headache are associated symptoms.[1]
Causes edit
It's still unknown what causes pneumosinus dilatans and how it progresses.[2]
Diagnosis edit
Clinical examination is used to make the diagnosis, and radiography (plain film or CT) is used to confirm it when the characteristic sinus enlargement is observed.[3]
References edit
- ^ a b Bouguila, Jed; Ben Rejeb, Maha; Omezzine, Monia; Mani, Radhouan; Khochtali, Habib (March 1, 2015). "Pneumosinus Dilatans: Rare Cause of Slowly Changing Frontal Contours". Aesthetic Surgery Journal. 35 (3). Oxford University Press (OUP): NP47–NP53. doi:10.1093/asj/sju045. ISSN 1527-330X. PMID 25805288.
- ^ Singh, H; Ramakrishnan, N; Sarin, D (2007). "Pneumosinus Dilatans". Medical Journal Armed Forces India. 63 (3). Elsevier BV: 300–301. doi:10.1016/s0377-1237(07)80166-3. ISSN 0377-1237. PMC 4922390. PMID 27408028.
- ^ Karlıdağ, T; Yalçın, Ş; Kaygusuz, İ; Demirbağ, E (2003). "Bilateral pneumosinus dilatans of the maxillary sinuses". British Journal of Oral and Maxillofacial Surgery. 41 (2). Elsevier BV: 122–123. doi:10.1016/s0266-4356(03)00041-x. ISSN 0266-4356. PMID 12694708.
Further reading edit
- Seigell, Sunakshi; Singhal, Surinder; Gupta, Nitin; Verma, Ravneet Ravinder; Gulati, Ankit (February 4, 2021). "Pneumosinus Dilatans: A Myriad of Symptomology". Indian Journal of Otolaryngology and Head & Neck Surgery. 74 (S2). Springer Science and Business Media LLC: 1305–1309. doi:10.1007/s12070-021-02418-x. ISSN 2231-3796. PMC 9702457. PMID 36452632.
- Nithya, VR; Ramani, Priya; SreeDevi, J; Vinod Kumar, AC (2021). "Pneumosinus dilatans: A rare case report and review of literature". Journal of Indian Academy of Oral Medicine and Radiology. 33 (2). Medknow: 226. doi:10.4103/jiaomr.jiaomr_253_20. ISSN 0972-1363.
External links edit
- MR/CT scans of pneumosinus dilatans from MedPix