Journal of Rhinology 2010;17(1):48-50.
Published online May 31, 2010.
Sinusitis due to the Huge Natural Dehiscence of Lamina Papyracea: A Case Report
Il Kang Kim, Sang Hyun Park, Bong Taek Shim, Seung Woo Kim
1Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital, Seoul, Korea. ilkang21@hanmail.net
2Department of Otolaryngology-Head and Neck surgery, Seokyung Hospital, Geochang-eup, Korea.
3Cocomo ENT Clinic, Seoul, Korea.
거대한 사골 지양판결손에 의해 유발된 부비동염 1예
김일강, 박상현, 심봉택, 김승우
서울보훈병원 이비인후과,1 서경병원 이비인후과,2 코코모 이비인후과3
Abstract
Natural dehiscence of the lamina papyracea is usually found in ostiomeatal unit CT images and during functional endoscopic sinus surgery. The surgery should be performed on the basis of clinical findings and ostiomeatal unit CT scans to determine the extent of disease and the structural anomalies. Preoperative awareness of dehiscence in the lamina papyracea is essential for avoiding orbital complications during surgery. Sinusitis arising from the natural dehiscence of the lamina papyracea is extremely rare. We report, with a review of the literature, a case of sinusitis due to the natural dehiscence of the lamina papyracea in a 46-year-old female, treated by endoscopic sinus surgery. The CT finding presented a huge natural dehiscence of the lamina papyracea and chronic sinusitis of the maxillary ethmoid sinus. Most of the patient's symptoms resolved without recurrence after endoscopic sinus surgery.
Key Words: Sinusitis;Nasal obstruction;Surgery;Lamina papyracea


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