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ROBERT E. FECHNER, MD

Arch Otolaryngol. 1984;110(2):132-135.

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PATHOLOGIC QUIZ CASE 1

Anna N. Walker, MD; Philip F. Jones, MD; Warren L. Griffin, MD, Macon, Ga

A 34-year-old black woman was in good health except for a three-year history of chronic maxillary sinusitis. Physical examination disclosed a deviated nasal septum and inflammation of the nasal mucosa with a mucopurulent discharge. Transillumination of the maxillary sinuses was decreased bilaterally and symmetrically. Roentgenographically, there was complete opacification of the left maxillary sinus and mucosal thickening of the right maxillary sinus and left ethmoid air cells (Fig 1). A chest roentgenogram was normal. The patient was treated with ampicillin, decongestants, and saline nasal rinses, with subjective relief and resolution of nasal mucosal inflammation. She subsequently underwent submucosal resection of the nasal septum and inferior turbinates, bilateral partial internal ethmoidectomies, and bilateral intranasal antrostomies. Figures 2 and 3 are representative of the microscopic appearance of the surgical specimens.

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Author Affiliations
University of Virginia School of Medicine, Charlottesville

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