PMC3580910_01
Coronal CT OMC showing antrolith.
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fig1
So with a diagnosis of recurrent maxillary sinusitis and an oroantral fistula in mind, we proceeded with plain computed tomography scan of the osteomeatal complex and the paranasal sinus, which showed opacification of bilateral maxillary sinus and amorphous area of bone density in the left maxillary sinus suggestive of osteoma (Figure 1).
Diagnostic nasal endoscopy showing thick purulent discharge in the middle meatus.
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fig2
Prior to any operative intervention, a thorough diagnostic nasal endoscopy was performed which revealed thick purulent discharge in the middle meatus (Figures 2 and 3).
Diagnostic nasal endoscopy showing thick pus trickling down into the nasopharynx.
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fig3
Prior to any operative intervention, a thorough diagnostic nasal endoscopy was performed which revealed thick purulent discharge in the middle meatus (Figures 2 and 3).
A wide middle meatal antrostomy revealing antrolith.
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fig4
A wide antrostomy was performed which revealed a brownish looking hard gritty mass surrounded by pus and polypoid mucosa (Figure 4).
Caldwell-Luc operation revealing the antrolith.
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fig5
Since it was difficult to remove the antrolith endoscopically via the antrostomy, a repeat Caldwell-Luc procedure was done, and calculi measuring 2 x 1 cm was removed and sent for histopathology (Figures 5 and 6).
Postoperative specimen.
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fig6
Since it was difficult to remove the antrolith endoscopically via the antrostomy, a repeat Caldwell-Luc procedure was done, and calculi measuring 2 x 1 cm was removed and sent for histopathology (Figures 5 and 6).