Vol.97 No.4 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 97 No. 4 April 2004
A Pediatric Case: Blood Boil of the Maxillary Sinus
Kousuke Sekiyama, Kouji Deguchi and Yuichi Kurono
(Kagoshima University School of Medicine)
We report the case of a child patient with blood boil of the maxillary sinus. The patient, a 10-year-old female, visited our clinic suffering from right nasal obstruction and bleeding. Due to considerable loss, she had received a blood transfusion prior to her visit to our clinic, and required definite diagnosis and intensive treatment. A computed tomography scan and magnetic resonance imaging showed the presence of a large mass with heterogeneous enhancement occupying the entire right maxillary sinus.
At first, a endoscopic nasal surgery was performed for histological diagnosis as well as tumor extirpation. However, extirpation of the entire tumor could not be completed due to increased nasal bleeding. Tumor extirpation by trans-maxillary approach was thus performed, and a hematoma-like mass occupying the maxillary sinus was totally removed.
The mass lesion was diagnosed as a so-called `blood boil' by the histopathological examination, local findings during the operation, and clinical procedures. No recurrence has been observed to date.
Key words : a pediatric case, blood boil of the maxillary sinus, trans-maxillary approach