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Báo cáo y học: "Maxillary sinus textiloma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Maxillary sinus textiloma: a case report. | Pons and Schouman Journal of Medical Case Reports 2010 4 288 http www.jmedicalcasereports.eom content 4 1 288 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Maxillary sinus textiloma a case report Yoann Pons Thomas Schouman Abstract Introduction Textilomas have been reported in many locations. We report the first case of textiloma located in the maxillary sinus that mimicked a sinus cyst recurrence on computed tomography images. Case presentation A 60-year-old Caucasian man was referred for persistent infection of the right maxillary sinus. A maxillary sinus benign cyst had been removed three months before. Computed tomography showed a sinus opacity evoking a cyst recurrence. A new operation was planned to remove the cyst by a Caldwell-Luc approach. After excision of very thick fibrous tissue a compress was discovered in the maxillary sinus. The patient did not present with any sinus infection after the operation. Conclusion The surgeon should always take into account the possibility of textilomas in a patient with a history of sinus surgery. Introduction Textiloma can be defined as a mass within the body composed of cotton matrix which usually refers to a retained surgical sponge or compress surrounded by a foreign-body reaction 1 . Most cases of textiloma reported in the literature have been connected to abdominal orthopaedic and cardi-othoracic surgery 1-3 . At the head level few intra-cra-nial cases have been reported 4 5 . No case to date has been reported at the face level. The authors reported the first case of textiloma located in the maxillary sinus. Case presentation A 60-year-old Caucasian man was referred to us for persistent infection of the right maxillary sinus. He was operated on three months ago for a benign cyst. A Caldwell-Luc operation was performed. Since this operation the patient complained of having recurrent sinusalgia with purulent rhinorrhea. Computed tomography CT showed a sinus opacity evocating a cyst recurrence Figure