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Clinical Problem Solving: Pathology
October 2002

Pathology Quiz Case 1

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2002;128(10):1209. doi:10.1001/archotol.128.10.1209

AN OTHERWISE HEALTHY 30-year-old man underwent an extraction of his left maxillary second molar, which had become progressively loose over a 1-month period. The loosening was accompanied by gingival irritation and bleeding. The tooth was extracted approximately 1 month before the patient presented to the otolaryngology clinic. Persistent bleeding was noted after the procedure. The patient was then referred to an oral surgeon, who obtained a computed tomogram (Figure 1) that showed a soft tissue mass of the left maxillary sinus, with destruction of the medial, lateral, anterior, and superior walls of the sinus. On presentation to the outpatient clinic, he reported the recent onset of left-sided epiphora, left-sided facial hypesthesia, and trismus. He denied diplopia.

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