Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T10:26:16.614Z Has data issue: false hasContentIssue false
  • English
  • Français

Pneumosinus dilatans, pneumocoele or air cyst? A case report and literature review

Published online by Cambridge University Press:  01 November 2011

B M Teh ,
C Hall  and
S W Chan
B M Teh*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health, Melbourne, Victoria, Australia
C Hall
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health, Melbourne, Victoria, Australia
S W Chan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health, Melbourne, Victoria, Australia
*
Address for correspondence: Dr Bing Mei Teh, School of Surgery, UWA, M507, 35 Stirling Highway, Crawley, Western Australia, Australia6009 Fax: +61 (0)893 464374 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Pathological paranasal sinus expansion secondary to air is uncommon. However, this condition may be symptomatic or cosmetically apparent, requiring surgical intervention. Various terms have been used to describe this condition, and nomenclature is controversial.

Method:

An 18-year-old man presented with right facial pain, and was subsequently found to have pneumosinus dilatans of the maxillary sinus. A search was conducted of the PubMed, Medline and Embase databases, using the key words ‘pneumosinus dilatans’, ‘pneumoc(o)ele’, ‘pneumatoc(o)ele’ and ‘maxillary sinus’. Articles were also hand-searched. Relevant articles published in English were reviewed.

Results:

The literature review identified 36 cases involving the maxillary sinus (including the present case), with 19 cases reported as pneumosinus dilatans, 12 as pneumocoeles, two as pneumatocoeles, two as pneumosinus dilatans multiplex and one as an air cyst. However, based on the strict classification described by Urken et al., the majority of these cases should be reclassified as pneumocoeles.

Conclusion:

Whilst the nomenclature of this pathology is confusing, distinctions of terminology do not alter the management. Hence, we support the use of the term ‘air cyst’, to incorporate all these lesions.

Keywords

Paranasal SinusesMaxillary SinusDiagnosisPneumosinus DilatansSurgical Procedures, Operative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 88 - 93
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting, 26–30 March 2010, Sydney, New South Wales, Australia

References

1Benjamins, C. Pneumo-sinus frontalis dilatans. Acta Otolaryngol (Stockh) 1918;1:412–22CrossRefGoogle Scholar
2Urken, M, Som, P, Lawson, W, Edelstein, D, Weber, A, Biller, H. Abnormally large frontal sinus. II. Nomenclature, pathology, and symptoms. Laryngoscope 1987;97:606–11CrossRefGoogle ScholarPubMed
3Hwang, K, Lee, D, Lee, C, Lee, S. Pneumosinus dilatans multiplex, mental retardation, and facial deformity. J Craniofac Surg 2000;11:487–90CrossRefGoogle ScholarPubMed
4Kiroglu, Y, Karabulut, N, Sabir, N, Yagci, A, Gakmak, V, Ozguler, U. Pneumosinus dilatans and multiplex: report of three rare cases and review of the literature. Dentomaxillofac Radiol 2007;36:298–303CrossRefGoogle ScholarPubMed
5Tovi, F, Gatot, A, Fliss, D. Air cyst of the maxillary sinus (pneumosinus dilatans, pneumocoele). J Laryngol Otol 1991;105:673–5CrossRefGoogle ScholarPubMed
6Lawson, W, Patel, Z, Lin, F. The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec B New Anat 2008;291:1554–63CrossRefGoogle ScholarPubMed
7Hirst, LW, Miller, NR, Allen, GS. Sphenoidal pneumosinus dilatans with bilateral optic nerve meningiomas. J Neurosurg 1979;51:402–7CrossRefGoogle ScholarPubMed
8Miller, N, Golnik, K, Zeidman, S, North, R. Pneumosinus dilatans: a sign of intracranial meningioma. Surg Neurol 1996;46:471–4CrossRefGoogle ScholarPubMed
9Noyek, A, Zizmor, J. Pneumocele of the maxillary sinus. Arch Otolaryngol Head Neck Surg 1974;100:155–6CrossRefGoogle ScholarPubMed
10Zizmor, J, Bryce, M, Schaffer, S, Noyek, A. Pneumocele of the maxillary sinus: a second case report. Arch Otolaryngol Head Neck Surg 1975;101:387–8CrossRefGoogle ScholarPubMed
11Vines, F, Bonstelle, C, Floyd, H. Proptosis secondary to pneumocele of the maxillary sinus. Neuroradiology 1976;11:57–9CrossRefGoogle ScholarPubMed
12Morrison, M, Tchang, S, Maber, B. Pneumocele of the maxillary sinus: report of a case. Arch Otolaryngol Head Neck Surg 1976;102:306–7CrossRefGoogle ScholarPubMed
13Meyers, A, Burtschi, T. Pneumocele of the maxillary sinus. J Otolaryngol 1980;9:361–3Google ScholarPubMed
14Lloyd, G. Orbital pneumosinus dilatans. Clin Radiol 1985;36:381–6CrossRefGoogle ScholarPubMed
15Dhillon, R, Williams, D. Pneumosinus dilatans. J Laryngol Otol 1987;101:828–32CrossRefGoogle ScholarPubMed
16Wolfensberger, M. The pathogenesis of maxillary pneumoceles [in German]. Arch Otolaryngol Head Neck Surg 1987;113:184–6CrossRefGoogle ScholarPubMed
17Komori, E, Sugisaki, M. Ectopic pneumosinus maxillaris dilatans: a case report. J Craniomaxillofac Surg 1988;16:240–2CrossRefGoogle ScholarPubMed
18Chan, F, Chow, S, Sham, J. Infratemporal pneumatocele arising from maxillary sinus. Clin Radiol 1992;45:27–30CrossRefGoogle ScholarPubMed
19Stretch, J, Poole, M. Pneumosinus dilatans as the aetiology of progressive bilateral blindness. Br J Plast Surg 1992;45:469–73CrossRefGoogle ScholarPubMed
20Omnell, K, Rohlin, M. Pneumocele of the maxillary sinus: a case report and literature review. Dentomaxillofac Radiol 1994;23:172–5CrossRefGoogle ScholarPubMed
21Breidahl, A, Szwajkun, P, Chen, Y. Pneumosinus dilatans of the maxillary sinus: a report of two cases. Br J Plast Surg 1997;50:33–9CrossRefGoogle ScholarPubMed
22Flanary, C, Flanary, V. Maxillary sinus pneumocele. Otolaryngol Head Neck Surg 1998;119:518–20CrossRefGoogle ScholarPubMed
23Dillard, M, Sillers, M. Maxillary sinus pneumocele causing orbital displacement. Am J Otolaryngol 1999;20:250–1CrossRefGoogle ScholarPubMed
24Mauri, M, De Oliveira, C, Franche, G. Pneumosinus dilatans of the maxillary sinus. Case report. Ann Otol Rhinol Laryngol 2000;109:278–80CrossRefGoogle ScholarPubMed
25Juhl, H, Buchwald, C, Bollinger, B. An extensive maxillary pneumosinus dilatans. Rhinology 2001;39:236–8Google ScholarPubMed
26Ganly, I, McGuiness, R. Radiology quiz case 1. Arch Otolaryngol Head Neck Surg 2002;128:1428Google ScholarPubMed
27Ganly, I, McGuiness, R. Radiology quiz case 2. Arch Otolaryngol Head Neck Surg 2002;128:1430Google Scholar
28Hsu, WM, Wang, AG. Pneumosinus dilatans associated with orbital neurilemmoma [in Chinese]. Chinese Medical Journal (Taipei) 2002;65:218–24Google ScholarPubMed
29Trimarchi, M, Lombardi, D, Tomenzoli, D, Farina, D, Nicolai, P. Pneumosinus dilatans of the maxillary sinus: a case report and review of the literature. Eur Arch Otorhinolaryngol 2003;260:386–9CrossRefGoogle ScholarPubMed
30Dogan, B, Taskapan, O, Harmanyeri, Y, Güngör, A, Basekim, C. A case of port-wine stain associated with ipsilateral pneumosinus dilatans. Br J Dermatol 2003;148:1287–9CrossRefGoogle ScholarPubMed
31Karlidag, T, Yalcin, S, Kaygusuz, I, Demirbag, E. Bilateral pneumosinus dilatans of the maxillary sinuses. Br J Oral Maxillofac Surg 2003;41:122–3CrossRefGoogle ScholarPubMed
32Knapp, F, Klenzner, T. Pneumocele as a rare differential diagnosis in trigeminal irritation. Am J Otolaryngol 2003;24:236–8CrossRefGoogle ScholarPubMed
33Sanjari, M, Modarreszadeh, M, Tarassoly, K. Pneumosinus dilatans in a 13 year old female. Br J Ophthalmol 2005;89:1537–8CrossRefGoogle Scholar
34Viehweg, T, Hudson, J. Pneumosinus dilitans of the maxillary sinuses, bilaterally: a case report. J Oral Maxillofac Surg 2006;64:726–30CrossRefGoogle ScholarPubMed
35Nayak, D, Pujary, K, Ramaswamy, B, Mahesh, S, Muddaiah, D. Anterior pneumatization of the maxillary sinus – presenting as a facial swelling. Ind J Otolaryngol Head Neck Surg 2007;59:277–9CrossRefGoogle ScholarPubMed
36Vlckova, I, White, P. Rapidly expanding maxillary pneumosinus dilatans. Rhinology 2007;45:93–5Google ScholarPubMed
37Lombardi, T, Verdeja, R, Schellenberg, M, Blanchard, M. A pneumosinus dilatans affecting all the paranasal sinuses. J Craniomaxillofac Surg 2008;36:S27CrossRefGoogle Scholar
38Braverman, I. Pneumocele of the maxillary sinus with orbital and trigeminal nerve involvement: case report and review of the literature. J Otolaryngol Head Neck Surg 2009;38:E35–8Google ScholarPubMed
39Harrison, M, Young, A. Pneumosinus frontalis. J Laryngol Otol 1955;69:108–14CrossRefGoogle ScholarPubMed
40Walker, J, Jones, N. Pneumosinus dilatans of the frontal sinuses: two cases and a discussion of its aetiology. J Laryngol Otol 2006;116:382–5Google Scholar
41McNally, W, Stuart, E, Childe, A. Mucocele of the frontal sinus. Arch Otolaryngol Head Neck Surg 1943;38:574–86CrossRefGoogle Scholar
42Benedikt, R, Brown, D, Roth, M, Geyer, C, Ghaed, V. Spontaneous drainage of an ethmoidal mucocele: a possible cause of pneumosinus dilatans. AJNR Am J Neuroradiol 1991;12:729–31Google ScholarPubMed
43Gardel, J, Maduro, M. An observation of pneumosinus dilatans [in French]. Ann Otolaryngol Chir Cervicofac 1965;82:619–21Google Scholar
44Smith, I, Maran, A, Von Haacke, N. Pneumosinus dilatans. Ann Otol Rhinol Laryngol 1987;96:210–12CrossRefGoogle ScholarPubMed
45Dyke, CG, Davidoff, LM, Masson, CB. Cerebral hemiatrophy with homolateral hypertrophy of the skull and sinuses. Surg Gynecol Obstet 1933;57:588–600Google Scholar
46Van Schayck, R, Niedeggen, A. Pneumosinus dilatans after prolonged cerebrospinal fluid shunting in young adults with cerebral hemiatrophy. A report of two cases and review of the literature. Neurosurg Rev 1992;15:217–23CrossRefGoogle ScholarPubMed
47Spoor, T, Kennerdell, J, Maroon, J, Hepler, R, Krohel, G. Pneumosinus dilatans, Klippel-Trenaunay-Weber syndrome, and progressive visual loss. Ann Ophthalmol 1981;13:105–8Google ScholarPubMed
48Sener, R. Arachnoid cysts and pneumosinus dilatans. Comput Med Imaging Graph 1997;21:125–9CrossRefGoogle ScholarPubMed
49Martin, A, Jarosz, J, Thomas, N. The strange association of pneumosinus dilatans and arachnoid cyst: case report and review of the literature. Acta Neurochir (Wien) 2001;143:197–201CrossRefGoogle ScholarPubMed
50Rossi, A, Fondelli, M, Piatelli, G, Gandolfo, A, Borasi, F, Tortori Donati, P. Progressive dyspneumatization of a frontal sinus from pneumosinus dilatans to pneumocele [in Italian]. Rivista Di Neuroradiologica 1996;9:227–32CrossRefGoogle Scholar
51Noyek, A, Zizmor, J, Morrison, M, Vines, F, Shaffer, K. The radiologic diagnosis of pneumocele of the maxillary sinus. J Otolaryngol suppl 1977;6:17–21Google ScholarPubMed