Unilateral chronic rhinosinusitis

ENT; Head And Neck Surgery
Case Report
10.1102/1470-5206.2008.0015
8
43-45
Unilateral chronic rhinosinusitis

Foreign bodies within the para-nasal sinuses are a reported cause of chronic unilateral rhinosinusitis. The most commonly cited cause is of dental origin. One previously reported case cited a foreign body from the repair of an orbital blow-out fracture. Suspicion of a sinugenic foreign body cause may only be aroused by a thorough history and examination, usually confirmed by imaging. We report a case of 57-year-old man was referred to ENT with persistent right nasal blockage and catarrh for over a decade. It transpired that he had previously had surgery using a silastic graft for a blow-out fracture. This is only the second reported case in the world literature of recurrent sinusitis from a graft placed to repair an orbital blow-out. A history of significant facial injuries should be considered and then actively investigated in unilateral chronic rhinosinusitis. The advent of ultra-low dose sinus computed tomography scans may encourage a more inquisitive surgeon to further investigate rhinosinusitis with imaging.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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