Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-18T18:36:50.640Z Has data issue: false hasContentIssue false
  • English
  • Français

Organised haematoma of the maxillary sinus: pathophysiological differences suggesting a new aetiological hypothesis

Published online by Cambridge University Press:  03 April 2013

S Urata ,
M Ohki ,
T Tsutsumi  and
S Kikuchi
S Urata*
Affiliation:
Department of Otorhinolaryngology, Medical Center, Saitama Medical University, Japan
M Ohki
Affiliation:
Department of Otorhinolaryngology, Medical Center, Saitama Medical University, Japan
T Tsutsumi
Affiliation:
Department of Otorhinolaryngology, Medical Center, Saitama Medical University, Japan
S Kikuchi
Affiliation:
Department of Otorhinolaryngology, Medical Center, Saitama Medical University, Japan
*
Address for correspondence: Dr Shinji Urata, Department of Otorhinolaryngology, Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe City, Saitama 350-8550, Japan Fax: +81 049 225 6312 E-mail: uraurashinjix@nifty.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background and objectives:

Organised haematomas of the maxillary sinus are rare, non-neoplastic, haemorrhagic lesions which can extend into the nasal cavity and/or the other paranasal sinuses. This study aimed to investigate the pathology of maxillary sinus organised haematoma, and also proposes a new aetiological hypothesis based on the observed pathology.

Methods:

Biopsies, computed tomography, magnetic resonance imaging and post-surgical histopathological examination of resected specimens were carried out.

Conclusion:

Distinct pathological differences were observed between the basal and peripheral portions of organised haematomas. We propose that an organised haematoma originates from the exudation of blood components between vascular endothelial cells. As a result, the basal portion consists of aggregated, dilated vessels around the natural ostium of the maxillary sinus. In addition, pseudovessels, without endothelial cells, arise from endocapillary vessels within the haematoma. Exudation of additional blood components from the pseudovessels advances the growth of the organised haematoma.

Keywords

HematomaMaxillary SinusPathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 5 , May 2013 , pp. 519 - 524
Copyright
Copyright © JLO (1984) Limited 2013 

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.)

References

1Tadokoro, K. Organized hematoma of the maxillary sinus [in Japanese]. Dainichijibi 1917;23:359–60Google Scholar
2Lee, BJ, Park, HJ, Heo, SC. Organized hematoma of the maxillary sinus. Acta Otolaryngol 2003;123:869–72CrossRefGoogle ScholarPubMed
3Nagato, S, Sugahara, K, Watanuki, K, Tanaka, K, Mikuriya, T, Hashimoto, M et al. Examination of MRI and histopathological findings of hematocele in the maxillary sinus [in Japanese]. Jibirin 2006;99:929–34Google Scholar
4Yagisawa, M, Ishitoya, J, Tsukuda, M. Hematoma-like mass of the maxillary sinus. Acta Otolaryngol 2006;126:277–81CrossRefGoogle ScholarPubMed
5Kusunoki, T, Tokuno, K, Toshikawa, K, Murata, K. Blood boils of the maxillary sinus suspected to be malignant tumors at the first medical examination. Acta Medical Kinki University 2005;30:117–19Google Scholar
6Omura, G, Watanabe, K, Fujishiro, Y, Ebihara, Y, Nakao, K, Asakage, T et al. Organized hematoma in the paranasal sinus and nasal cavity: imaging diagnosis and pathological findings. Auris Nasus Larynx 2010:37:173–7CrossRefGoogle ScholarPubMed
7Song, HM, Jang, JJ, Chung, YS, Lee, BJ. Organizing hematoma of the maxillary sinus. Otolaryngol Head Neck Surg 2007;136:616–20CrossRefGoogle ScholarPubMed
8Lee, HK, Smoker, WR, Lee, BJ, Kim, SJ, Cho, KJ. Organized hematoma of the maxillary sinus: CT findings. AJR Am J Roentgenol 2007;188:W370–3CrossRefGoogle ScholarPubMed
9Suzuki, H, Inaba, T, Hiraki, N, Hashida, K, Wakasugi, T, Kadokawa, Y et al. Endoscopic sinus surgery for the treatment of organized hematoma of the maxillary sinus. Kurume Med J 2009;55:37–41CrossRefGoogle Scholar
10Yoon, TM, Kim, JH, Cho, YB. Three cases of organized hematoma of the maxillary sinus. Eur Arch Otorhinolaryngol 2006;263:823–6CrossRefGoogle ScholarPubMed
11Ozaki, M, Sakai, S, Ikeda, H. Hemangioma of the nasal cavity and sinuses – a report of twenty-five cases. Otolaryngol Head Neck Surg [Tokyo] 1977;49:53–8Google Scholar
12Unlu, HH, Mutlu, C, Ayhan, S, Tarhan, S. Organized hematoma of the maxillary sinus mimicking tumor. Auris Nasus Larynx 2001;28:253–5CrossRefGoogle ScholarPubMed