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Seven skulls of newborns and of infants aged 3 weeks to 12 months were studied using computed tomography. Size of the maxillary sinuses was measured. Between 3rd and l2nd week of life the ethmoidal sinus formed small spaces in ethmoidal labyrinth. Maxillary sinus could be noted at the level of lower orbital margin. In newborns, it formed a shallow indentation in the lateral wall of the nasal cavity. The anteroposterior dimension of the sinus was greater- than the two remaining dimensions. Beginning from the 3rd month of life, number of ethmoidal cells increased, maxillary sinuses enlarged and entered the body of the maxilla. Between 6th and l2th month, the mediolateral and the superoinferior dimensions of the sinuses increased. Small air spaces were also seen in the part of sphenoid bone, corresponding to sphenoidal sinueses.
Fungi are organisms which occur in the human environment. One of the potential pathogenic fungi is Aspergillus which belongs to mould, and is an etiological factor of non-invasive fungal paranasal sinusitis. Objective. Epidemiological analysis of aspergillosis of the maxillary sinuses. Material and methods. Retrospective analysis of the medical histories of 41 patients treated in the Maxillofacial Surgery Department of Medical University in Lublin, Poland between 2005–2014 due to non-invasive aspergillus maxillary sinusitis. The patients’ gender, age, and etiopathogenesis of the condition with signs and symptoms, and methods of treatment were analysed. Histological examination was crucial in the final diagnosis. Results. The majority of the patients constituted women aged 29–72. The most common complaints were suborbital pain, rhinorrhoea and impaired nasal ventilation. All the patients were treated surgically, and pharmacologically with Fluconazole. Conclusion. Fungal maxillary sinusitis should be taken into account in every case of chronic maxillary sinusitis resistant to standard treatment. Women are more susceptible to Aspergillosis, and the risk factors for the disease are endodontic treatment of the maxillary teeth and fistula antro-oralis post extractionem. Surgical treatment sometimes should be complemented by pharmacological antimycotic treatment.
Variability of the bony structures located in the maxillary sinus, and of the lateral nasal wall topography, have practical significance during surgical procedures conducted by maxillofacial surgeons or otolaryngologists. The retrospective analysis of 111 computed tomography examinations of patients (52 male and 59 female) diagnosed in our institution was made to evaluate anatomical variations of the maxillary sinus. In the study the frequency of the Haller cell was 29/222 (13%), and the prevalence of one or more septa per sinus was 49/222 (26%). The infraorbital recess was found in 6/222 (3%) of cases. The mean width of the nasal duct was enlarged at the side where the Haller cell was present (p < 0.01) or where bony septa were absent in the maxillary sinus (p < 0.01). Bony structures of the maxillary sinus and changes in topography of the lateral nasal wall should compel surgeons to carefully analyze the computed tomography scans before operations in this area. (Folia Morphol 2009; 68, 4: 260–264)
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