Pneumosinus dilatans: Is it more than an aesthetic concern?

Naman S. Desai, Sachin S. Saboo, Ashish Khandelwal, Joseph A. Ricci

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND: Pneumosinus dilatans (PD) is a pathologic condition involving the hyperaeration of one or several of the paranasal sinuses that can lead to significant deformation of the overlying bone. Although the presenting complaint of patients with PD is most commonly aesthetic in nature, the condition has also been associated with intracranial tumors and several other serious conditions. MATERIALS AND METHODS: A meta-analysis of all available clinical publications on the subject of PD was conducted. Patients were categorized on the basis of their sinus involvement. Associated conditions were also identified and categorized. The resulting data were used to further characterize the condition and describe previously unreported associations between PD and other conditions. RESULTS: To date, a total of 123 cases of PD have been reported. The frontal sinus was the most commonly involved (63%), followed by the sphenoid sinus (24%), maxillary sinus (20%), and ethmoid sinus (19%). Of patients with symptomatic PD of the frontal sinus, 25% had intracranial pathology (meningioma or arachnoid cyst or orbital tumor). Patients with sphenoid PD had an 83% chance of having associated diagnosis of visual loss, meningioma, or arachnoid cyst, whereas patients with ethmoid PD had 83% chance of having associated diagnosis of exophthalmos, vision loss, or arachnoid cyst. CONCLUSIONS: Although the presenting complaint of patients with PD is most commonly aesthetic in nature, a significant percentage may have an associated diagnosis. Health care providers must be able to recognize the condition and carry out the appropriate clinical evaluation to avoid missing an associated diagnosis.

Original languageEnglish (US)
Pages (from-to)418-421
Number of pages4
JournalJournal of Craniofacial Surgery
Volume25
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Esthetics
Arachnoid Cysts
Frontal Sinus
Meningioma
Ethmoid Sinus
Sphenoid Sinus
Exophthalmos
Maxillary Sinus
Paranasal Sinuses
Health Personnel
Publications
Meta-Analysis
Neoplasms
Pathology
Bone and Bones

Keywords

  • arachnoid cyst
  • meningioma
  • orbital tumor
  • paranasal sinuses
  • Pneumosinus dilatans

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Pneumosinus dilatans : Is it more than an aesthetic concern? / Desai, Naman S.; Saboo, Sachin S.; Khandelwal, Ashish; Ricci, Joseph A.

In: Journal of Craniofacial Surgery, Vol. 25, No. 2, 2014, p. 418-421.

Research output: Contribution to journalArticle

Desai, Naman S. ; Saboo, Sachin S. ; Khandelwal, Ashish ; Ricci, Joseph A. / Pneumosinus dilatans : Is it more than an aesthetic concern?. In: Journal of Craniofacial Surgery. 2014 ; Vol. 25, No. 2. pp. 418-421.
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abstract = "BACKGROUND: Pneumosinus dilatans (PD) is a pathologic condition involving the hyperaeration of one or several of the paranasal sinuses that can lead to significant deformation of the overlying bone. Although the presenting complaint of patients with PD is most commonly aesthetic in nature, the condition has also been associated with intracranial tumors and several other serious conditions. MATERIALS AND METHODS: A meta-analysis of all available clinical publications on the subject of PD was conducted. Patients were categorized on the basis of their sinus involvement. Associated conditions were also identified and categorized. The resulting data were used to further characterize the condition and describe previously unreported associations between PD and other conditions. RESULTS: To date, a total of 123 cases of PD have been reported. The frontal sinus was the most commonly involved (63{\%}), followed by the sphenoid sinus (24{\%}), maxillary sinus (20{\%}), and ethmoid sinus (19{\%}). Of patients with symptomatic PD of the frontal sinus, 25{\%} had intracranial pathology (meningioma or arachnoid cyst or orbital tumor). Patients with sphenoid PD had an 83{\%} chance of having associated diagnosis of visual loss, meningioma, or arachnoid cyst, whereas patients with ethmoid PD had 83{\%} chance of having associated diagnosis of exophthalmos, vision loss, or arachnoid cyst. CONCLUSIONS: Although the presenting complaint of patients with PD is most commonly aesthetic in nature, a significant percentage may have an associated diagnosis. Health care providers must be able to recognize the condition and carry out the appropriate clinical evaluation to avoid missing an associated diagnosis.",
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