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Antrolithiasis: a retrospective study

Published online by Cambridge University Press:  08 March 2006

Meltem Nass Duce ,
Derya Ümit Talas ,
Caner Özer ,
Altan Yildiz ,
F. Demir Apaydin  and
Anil Özgür
Meltem Nass Duce
Affiliation:
Department of Radiology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
Derya Ümit Talas
Affiliation:
Department of Otorhinolaryngology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
Caner Özer
Affiliation:
Department of Radiology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
Altan Yildiz
Affiliation:
Department of Radiology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
F. Demir Apaydin
Affiliation:
Department of Radiology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
Anil Özgür
Affiliation:
Department of Radiology, Mersin University, Faculty of Medicine, TR-33079 Mersin, Turkey
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Abstract

In this retrospective study, the computed tomography (CT) archives of paranasal sinus examinations were reviewed and three cases of antroliths are presented. The archivesof paranasal sinus CT studies of 1957 patients (1023 females, 934 males, mean age 36.5 years) were surveyed. CT studies were performed using 3 mm collimation and interval in the coronal, axial or both coronal and axial planes.

Three out of 1957 patients demonstrated antroliths, all in the left maxillary sinus. Associated sinusitis was detected in all three patients. Only one patient was operated. The chemical analysis of the antrolith revealed it to be a calcium oxalate stone. All the relevant literatureis reviewed and only 25 other cases of true antrolithiasis were encountered. The clinical and radiological features of antroliths,as well as differential diagnosis were discussed.

Antrolithiasis should be considered in any case of sinusitis, that does not respond to appropriate medical therapy.

Keywords

LithiasisX-Ray Computed TomographySinusitisCalcium Oxalate
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 8 , August 2003 , pp. 637 - 640
Copyright
© Royal Society of Medicine Press Limited 2003

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