{"title":"慢性前窦不张引起的中鼻窦缩回。","authors":"M Veyrat, M P Tuset, A Tran, M Callet","doi":"10.1016/j.anorl.2025.06.001","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Chronic sinus atelectasis is a rare but classical etiology in maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis, and detail treatment.</p><p><strong>Case report: </strong>A 59 year-old man was referred for recurrent right periorbital pain with 2 years' progression, resistant to local corticosteroid treatment. Clinically, there was right middle turbinate lateralization and ipsilateral enophthalmos. CT showed filling of the right maxillary, anterior ethmoidal and frontal sinuses, with characteristic anterior chronic sinus atelectasis features: retraction of the thinned sinus walls, and decreased sinus volume, confirmed on 3D MRI. Functional ethmoidectomy resolved the obstruction caused by the atelectasis and relieved the patient's pain.</p><p><strong>Discussion: </strong>This was an original case of chronic sinus atelectasis implicating the middle meatus, with equal involvement of all three anterior sinuses. It highlights the importance of surgical treatment of all the involved sinuses, to stop progression and prevent recurrence.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Chronic anterior sinus atelectasis due to middle meatus retraction.\",\"authors\":\"M Veyrat, M P Tuset, A Tran, M Callet\",\"doi\":\"10.1016/j.anorl.2025.06.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Chronic sinus atelectasis is a rare but classical etiology in maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis, and detail treatment.</p><p><strong>Case report: </strong>A 59 year-old man was referred for recurrent right periorbital pain with 2 years' progression, resistant to local corticosteroid treatment. Clinically, there was right middle turbinate lateralization and ipsilateral enophthalmos. CT showed filling of the right maxillary, anterior ethmoidal and frontal sinuses, with characteristic anterior chronic sinus atelectasis features: retraction of the thinned sinus walls, and decreased sinus volume, confirmed on 3D MRI. Functional ethmoidectomy resolved the obstruction caused by the atelectasis and relieved the patient's pain.</p><p><strong>Discussion: </strong>This was an original case of chronic sinus atelectasis implicating the middle meatus, with equal involvement of all three anterior sinuses. It highlights the importance of surgical treatment of all the involved sinuses, to stop progression and prevent recurrence.</p>\",\"PeriodicalId\":48834,\"journal\":{\"name\":\"European Annals of Otorhinolaryngology-Head and Neck Diseases\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Annals of Otorhinolaryngology-Head and Neck Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.anorl.2025.06.001\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Annals of Otorhinolaryngology-Head and Neck Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.anorl.2025.06.001","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Chronic anterior sinus atelectasis due to middle meatus retraction.
Introduction: Chronic sinus atelectasis is a rare but classical etiology in maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis, and detail treatment.
Case report: A 59 year-old man was referred for recurrent right periorbital pain with 2 years' progression, resistant to local corticosteroid treatment. Clinically, there was right middle turbinate lateralization and ipsilateral enophthalmos. CT showed filling of the right maxillary, anterior ethmoidal and frontal sinuses, with characteristic anterior chronic sinus atelectasis features: retraction of the thinned sinus walls, and decreased sinus volume, confirmed on 3D MRI. Functional ethmoidectomy resolved the obstruction caused by the atelectasis and relieved the patient's pain.
Discussion: This was an original case of chronic sinus atelectasis implicating the middle meatus, with equal involvement of all three anterior sinuses. It highlights the importance of surgical treatment of all the involved sinuses, to stop progression and prevent recurrence.
期刊介绍：
European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site.
Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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