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Arch Otolaryngol Head Neck Surg. 2007;133(4):410.

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Diagnosis: Organized hematoma of the maxillary sinus

Organized hematoma of the maxillary sinus is a rare, benign condition that can be locally aggressive. The clinical presentation and radiographic appearance can mimic malignancy, but definitive diagnosis is confirmed only after histopathologic evaluation.^1-2 A review of the literature revealed only a few cases of organized hematoma of the maxillary sinus. Ozhan et al³ and Steele et al⁴ each reported a case of pediatric pseudotumor of the maxillary sinus in patients with underlying bleeding disorders (von Willebrand disease and hemophilia A). Unlu et al,⁵ Tabaee and Kacker,² and Lee et al¹ described cases of organized hematomas of the maxillary sinus in adult patients without underlying chronic sinonasal disease or bleeding disorders. The clinical presentation, radiographic characteristics, and histopathologic findings were similar in all of their cases.

Typical presenting symptoms include progressive cheek swelling, nasal congestion, and epistaxis. Physical examination generally reveals medial displacement of lateral nasal wall, proptosis, and hypesthesia . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2007;133(4):408.
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