case_images: PMC3580910_01
case_images: Coronal CT OMC showing antrolith.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.001.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.001.jpg
case_images: fig1
case_images: So with a diagnosis of recurrent maxillary sinusitis and an oroantral fistula in mind, we proceeded with plain computed tomography scan of the osteomeatal complex and the paranasal sinus, which showed opacification of bilateral maxillary sinus and amorphous area of bone density in the left maxillary sinus suggestive of osteoma (Figure 1).
case_images: Diagnostic nasal endoscopy showing thick purulent discharge in the middle meatus.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.002.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.002.jpg
case_images: fig2
case_images: Prior to any operative intervention, a thorough diagnostic nasal endoscopy was performed which revealed thick purulent discharge in the middle meatus (Figures 2 and 3).
case_images: Diagnostic nasal endoscopy showing thick pus trickling down into the nasopharynx.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.003.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.003.jpg
case_images: fig3
case_images: Prior to any operative intervention, a thorough diagnostic nasal endoscopy was performed which revealed thick purulent discharge in the middle meatus (Figures 2 and 3).
case_images: A wide middle meatal antrostomy revealing antrolith.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.004.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.004.jpg
case_images: fig4
case_images: A wide antrostomy was performed which revealed a brownish looking hard gritty mass surrounded by pus and polypoid mucosa (Figure 4).
case_images: Caldwell-Luc operation revealing the antrolith.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.005.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.005.jpg
case_images: fig5
case_images: Since it was difficult to remove the antrolith endoscopically via the antrostomy, a repeat Caldwell-Luc procedure was done, and calculi measuring 2 x 1 cm was removed and sent for histopathology (Figures 5 and 6).
case_images: Postoperative specimen.
case_images: CRIM.OTOLARYNGOLOGY2013-527152.006.jpg
case_images: PMC3580910_01_CRIM.OTOLARYNGOLOGY2013-527152.006.jpg
case_images: fig6
case_images: Since it was difficult to remove the antrolith endoscopically via the antrostomy, a repeat Caldwell-Luc procedure was done, and calculi measuring 2 x 1 cm was removed and sent for histopathology (Figures 5 and 6).