Rhinoscleroma With Involvement of the Maxillary Sinus, Orbital Floor, and Temporomandibular Joint: A Case Report

Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra, India.
Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons (Impact Factor: 1.43). 05/2011; 70(1):135-40. DOI: 10.1016/j.joms.2011.02.004
Source: PubMed
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    ABSTRACT: We review the appearance of scleroma in the head and neck on imaging. Scleroma is a chronic granulomatous disease that primarily affects the nasal cavity, but the pharynx and larynx may also be involved. On imaging, nasal scleroma appears as bilateral or unilateral expanded homogeneous nasal masses that may exhibit hyperintense signal on T(1) weighted images. Pharyngeal scleroma commonly narrows the pharyngeal lumen and may involve the soft and hard palate. Imaging is essential to detect the extent of subglottic stenosis in patients with laryngeal scleroma. Rarely, scleroma may involve the orbit or the middle ear. Imaging is essential for the early diagnosis of scleroma and for differentiating it from other granulomatous and neoplastic lesions. Also, imaging is important for treatment planning and follow-up of patients after therapy.
    The British journal of radiology 08/2012; 85(1020). DOI:10.1259/bjr/15189057 · 2.03 Impact Factor
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    ABSTRACT: The maxillary sinus may be involved in a wide variety of disorders. Many of these share common presenting symptoms but some have unique features. This article reviews some of the recent publications in this area. The majority of isolated maxillary sinus disease has been previously described. Some recent data on the microbiology of sinusitis have been published. The review also highlights the growing role of endoscopic surgical management due to improved instrumentations and techniques. On the basis of the review, diagnosing isolated maxillary sinus disease can still be delayed due to late presentation. When suspected, it is advisable to investigate early with computed tomography scanning and proceeding to MRI if needed. Often these will show certain features with clues to the diagnosis. Final diagnosis is frequently only obtained on histological examination. The majority of these disorders can now be managed by endoscopic techniques alone with open surgery required in a small number of cases.
    Current opinion in otolaryngology & head and neck surgery 02/2013; 21(1):50-7. DOI:10.1097/MOO.0b013e32835af905 · 1.84 Impact Factor
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    ABSTRACT: Rhinoscleroma (RS) is a rare chronic granulomatous disease of the upper airways affecting nasal cavity, nasopharynx, and paranasal sinuses. Klebsiella rhinoscleromatisis the causative agent of this infection and Mikulicz cells are specific to this lesion. RS is commonly seen in poorer regions such as Central Africa, South America, Middle East, India and Indonesia. It is predominantly found in rural areas and people with poor socio-economic conditions. Most patients present with chronic rhinitis, sneezing, headache and deviated nasal septum similar to current case. An association with oral cavity has not been reported previously, as per authors' knowledge. This report describes a rare case of RS of nasal cavity extending into the oral cavity. Key Words: Rhinoscleroma. Klebsiella rhinoscleromatis. Mikulicz cells. Russel bodies. Mott cells.
    Journal of the College of Physicians and Surgeons--Pakistan: JCPSP 01/2015; 25:S27-S29. · 0.35 Impact Factor
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