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- Title
Facial Pain Triggered by Inferior Turbinate Partial Resection in a Patient with a Previous History of Inferior Meatal Antrostomy: A Case Report.
- Authors
Park, Marn Joon; Jang, Yong Ju
- Abstract
Objectives: Inferior meatal antrostomy (IMA) is regarded as a safe method, with minimal complications, for managing various lesions in the maxillary sinus. However, in patients with persisting IMA window, resection of the inferior turbinate may result in direct airflow into the antrum, irritating the antral mucosa. Methods: Case report and review of literature. Results/Case: The present report describes a 29-year-old man who previously underwent unilateral IMA for the excision of a dentigerous cyst. The patient did not report any facial pain following the excision of the cyst. One year later, this patient underwent partial resection of the inferior turbinate for the resolution of nasal stuffiness by another surgeon. Soon after surgery, the patient developed severe facial and ocular pain on the side of the IMA, with the pain being especially aggravated upon inhalation. Endoscopy and computed tomography (CT) revealed a persisting IMA window. The patient's severe discomfort was thought to result from direct airflow into the maxillary sinus, as the resected turbinate may have altered normal nasal airflow. A unilateral inferior meatal augmentation procedure (IMAP) with an autologous ear cartilage implant was performed, resulting in complete relief of pain and discomfort. Conclusions: Although IMA alone is a relatively safe surgical procedure, care should be taken when performing inferior turbinoplasty in patients with persistent IMA opening.
- Subjects
NASAL anatomy; CARTILAGE transplantation; MAXILLARY sinus surgery; ENDOSCOPIC surgery; MAXILLARY sinus; SURGICAL complications; FACIAL pain; NASAL cavity; EAR; AUTOGRAFTS; ODONTOGENIC cysts; COMPUTED tomography; RESPIRATION; ENDOSCOPY; PAIN management; DISEASE risk factors
- Publication
Annals of Otology, Rhinology & Laryngology, 2024, Vol 133, Issue 1, p115
- ISSN
0003-4894
- Publication type
Article
- DOI
10.1177/00034894231180948