상악동염에 대한 Antral polyp의 감별증례
Antral Polyp Versus Maxillary Sinusitis
박영욱, 이석근, 정지훈, 이상신, 김윤희, 김연숙,
소속 상세정보
박영욱 ( Park Young-Wook ) - 강릉대학교 치과대학 구강악안면외과학교실
이석근 ( Lee Suk-Keun ) - 강릉대학교 치과대학 구강병리학교실
정지훈 ( Chung Ji-Hun ) - 강릉대학교 치과대학 구강악안면외과학교실
이상신 ( Lee Sang-Shin ) - 강릉대학교 치과대학 구강병리학교실
김윤희 ( Kim Yun-Hee ) - 강릉대학교 치과대학 구강병리학교실
김연숙 ( Kim Yeon-Sook ) - 강릉대학교 치과대학 구강병리학교실
KMID : 0360120080300050489
Abstract
patient complaining of chronic dull pain in the right maxillary area showed slight haziness and small ovoid radiopacity in the right antrum, which was not extended into the choanal area in radiographic views. At operation, lots of mucoid fluid admixed myxoid soft tissues was discharged and the polypoid mucosal tissues were removed. In histological examination, the removed tissues showed a polyp by the overgrowth of dermal connective tissues exhibiting severe myxoid degeneration. Throughout the entire specimen, the inflammatory reaction was diffuse but not so remarkable to produce the mucosal thickening and necrosis. The polypoid tissues were diffusely infiltrated with neutrophiles and plasma cells, but few eosinophils, resulted in the extensive myxoid degeneration together with severe vascular degeneration. Therefore, we suggest that the antral polyp is basically different in its pathogenesis and prognosis from the common maxillary sinusitis of odontogenic origin, thus the antral polyp should be carefully diagnosed when the inflamed antral lesion is recurred and diffusely degenerative with myxoid changes.
키워드
Antral polyp;Chronic maxillary sinusitis;Pathogenesis
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