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Sinonasal organised haematoma: clinical features and successful application of modified transnasal endoscopic medial maxillectomy

Published online by Cambridge University Press:  09 June 2017

M Suzuki ,
Y Nakamura ,
S Ozaki ,
M Yokota  and
S Murakami
M Suzuki*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Nagoya City University, Japan
Y Nakamura
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Nagoya City University, Japan
S Ozaki
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Nagoya City University, Japan
M Yokota
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Nagoya City University, Japan
S Murakami
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Nagoya City University, Japan
*
Address for correspondence: Dr Motohiko Suzuki, Department of Otorhinolaryngology, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan Fax: +81 52 851 5300 E-mail: suzu-mo@med.nagoya-cu.ac.jp
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Abstract

Objective:

Although organised haematoma often induces bone thinning and destruction similar to malignant diseases, the aetiology of organised haematoma and the optimal treatment remain unclear. This paper presents the clinical features of individuals with organised haematoma, and describes cases in which a novel modified approach was successfully applied for resection of organised haematoma in the maxillary sinus.

Method:

Pre-operative examination data were evaluated retrospectively. Modified transnasal endoscopic medial maxillectomy was employed.

Results:

Fourteen patients with organised haematoma were treated. Contrast-enhanced computed tomography showed heterogeneous enhancement in all patients. Eight patients underwent modified transnasal endoscopic medial maxillectomy, without complications such as facial numbness, tooth numbness, facial tingling, lacrimation and eye discharge. Dissection of the apertura piriformis and anterior maxillary wall was not necessary for any of these eight patients. No recurrence was observed.

Conclusion:

Pre-operative examinations can be helpful in determining the likelihood of organised haematoma. Modified transnasal endoscopic medial maxillectomy appears to be a safe and effective method for organised haematoma resection.

Keywords

HematomaMaxillary SinusNasolacrimal Duct

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 8 , August 2017 , pp. 696 - 701
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Kim, JS, Oh, JS, Kwon, SH. The increasing incidence of paranasal organizing hematoma: a 20-year experience of 23 cases at a single center. Rhinology 2016;54:176–82CrossRefGoogle Scholar
2 Choi, SJ, Seo, ST, Rha, KS, Kim, YM. Sinonasal organized hematoma: clinical features of seventeen cases and a systematic review. Laryngoscope 2015;125:2027–33CrossRefGoogle ScholarPubMed
3 Unlu, HH, Mutlu, C, Ayhan, S, Tarhan, S. Organized hematoma of the maxillary sinus mimicking tumor. Auris Nasus Larynx 2001;28:253–5CrossRefGoogle ScholarPubMed
4 Pang, W, Hu, L, Wang, H, Sha, Y, Ma, N, Wang, S et al. Organized hematoma: an analysis of 84 cases with emphasis on difficult prediction and favorable management. Otolaryngol Head Neck Surg 2016;154:626–33CrossRefGoogle ScholarPubMed
5 Park, JC, Ahn, JS, Kwon do, H, Kwun, BD. Growing organized hematomas following gamma knife radiosurgery for cerebral arteriovenous malformation: five cases of surgical excision. J Korean Neurosurg Soc 2015;58:83–8CrossRefGoogle ScholarPubMed
6 Yagisawa, M, Ishitoya, J, Tsukuda, M. Hematoma-like mass of the maxillary sinus. Acta Otolaryngol 2006;126:277–81CrossRefGoogle ScholarPubMed
7 Kim, EY, Kim, HJ, Chung, SK, Dhong, HJ, Kim, HY, Yim, YJ et al. Sinonasal organized hematoma: CT and MR imaging findings. AJNR Am J Neuroradiol 2008;29:1204–8CrossRefGoogle ScholarPubMed
8 Nishiguchi, T, Nakamura, A, Mochizuki, K, Tokuhara, Y, Yamane, H, Inoue, Y. Expansile organized maxillary sinus hematoma: MR and CT findings and review of literature. AJNR Am J Neuroradiol 2007;28:1375–7CrossRefGoogle ScholarPubMed
9 Tabaee, A, Kacker, A. Hematoma of the maxillary sinus presenting as a mass--a case report and review of literature. Int J Pediatr Otorhinolaryngol 2002;65:153–7CrossRefGoogle ScholarPubMed
10 Yoon, TM, Kim, JH, Cho, YB. Three cases of organized hematoma of the maxillary sinus. Eur Arch Otorhinolaryngol 2006;263:823–6CrossRefGoogle ScholarPubMed
11 Lee, BJ, Park, HJ, Heo, SC. Organized hematoma of the maxillary sinus. Acta Otolaryngol 2003;123:869–72CrossRefGoogle ScholarPubMed
12 Song, HM, Jang, YJ, Chung, YS, Lee, BJ. Organizing hematoma of the maxillary sinus. Otolaryngol Head Neck Surg 2003;123:869–72Google Scholar
13 Suzuki, H, Inaba, T, Hiraki, N, Hashida, K, Wakasugi, T, Kadokawa, Y et al. Endoscopic sinus surgery for the treatment of organized hematoma of the maxillary sinus. Kurume Med J 2008;55:37–41 CrossRefGoogle ScholarPubMed
14 DeFreitas, J, Lucente, FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975–1985. Laryngoscope 1988;98:1297–300CrossRefGoogle ScholarPubMed
15 Low, WK. Complications of the Caldwell-Luc operation and how to avoid them. Aust N Z J Surg 1995;65:582–4CrossRefGoogle Scholar
16 Robinson, SR, Baird, R, Le, T, Wormald, PJ. The incidence of complications after canine fossa puncture performed during endoscopic sinus surgery. Am J Rhinol 2005;19:203–6CrossRefGoogle ScholarPubMed
17 Byun, JY, Lee, JY, Baek, BJ. Weakness of buccal branch of facial nerve after canine fossa puncture. J Laryngol Otol 2011;125:214–16CrossRefGoogle ScholarPubMed
18 Tanna, N, Edwards, JD, Aghdam, H, Sadeghi, N. Transnasal endoscopic medial maxillectomy as the initial oncologic approach to sinonasal neoplasms: the anatomic basis. Arch Otolaryngol Head Neck Surg 2007;133:1139–42CrossRefGoogle ScholarPubMed
19 Hinohira, Y, Yumoto, E, Shimamura, I. Endoscopic endonasal reduction of blowout fractures of the orbital floor. Otolaryngol Head Neck Surg 2005;133:741–7CrossRefGoogle ScholarPubMed
20 Robey, A, O'Brien, EK, Leopold, DA. Assessing current technical limitations in the small-hole endoscopic approach to the maxillary sinus. Am J Rhinol Allergy 2010;24:396–401 CrossRefGoogle ScholarPubMed
21 Suzuki, M, Nakamura, Y, Nakayama, M, Inagaki, A, Murakami, S, Takemura, K et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399–401CrossRefGoogle ScholarPubMed
22 Wu, AW, Ting, JY, Borgie, RC, Busaba, NY, Sadow, PM, Juliano, AF et al. Diagnostic characteristics of sinonasal organizing hematomas: avoiding misdiagnosis. Int Forum Allergy Rhinol 2013;3:598–602 CrossRefGoogle ScholarPubMed
23 Kamel, RH. Transnasal endoscopic medial maxillectomy in inverted papilloma. Laryngoscope 1995;105:847–53CrossRefGoogle ScholarPubMed