Maxillary sinus unilateral aplasia as an incidental finding following cone-beam computed (volumetric) tomography.
This paper presents a case of maxillary sinus unilateral aplasia, an uncommon condition in adults, diagnosed as an incidental finding during cone-beam computed tomography (CBCT) examination for an endodontic case analysis. The patient was referred to a specialist endodontic practice for management of an upper right central incisor tooth. A CBCT scan was performed. The images of the left maxillary sinus showed a total lack of pneumatisation, prompting the diagnosis of aplasia. The patient's otolaryngologist was made aware of the findings. Clinical evaluation of volumetric images should be performed by an adequately trained dentist or radiologist so the maximum amount of information is gathered for the patient. This requires a systematic approach to ensure that no relevant information is missed and should include the paranasal sinuses and other surrounding structures as incidental findings can be observed during CBCT analysis.
Postgraduate Dental Education Unit, Institute of Clinical Education, Warwick Medical School, University of Warwick, Coventry, UK.
Liviu
L
Steier
Gabriela
G
Steier
Esma J
EJ
Doğramaci
Giampiero
G
Rossi-Fedele
D054893:Cone-Beam Computed Tomography / Q000379:methods*; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007180:Incisor / Q000000981:diagnostic imaging; D008443:Maxillary Sinus / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008875:Middle Aged; D016300:Radiography, Bitewing; D011862:Radiography, Panoramic; D019553:Tooth, Nonvital / Q000000981:diagnostic imaging
cone-beam computed tomography; incidental finding; maxillary sinus; maxillary sinus aplasia