[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.129.96. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Clinical Problem Solving: Radiology
January 2007

Radiology Quiz Case 1

Arch Otolaryngol Head Neck Surg. 2007;133(1):90. doi:10.1001/archotol.133.1.90

A healthy, normal-appearing 4-month-old white boy presented with a 2-month history of significant nasal congestion that interfered with feeding and caused obstructive breathing during sleep. A computed tomographic (CT) scan of his paranasal sinuses revealed bilateral maxillary opacification and medial bulging of the lateral nasal walls (Figure 1). An ophthalmologic evaluation ruled out any abnormalities of the nasal lacrimal duct apparatus. Administration of topical nasal saline, steroid sprays, a proton pump inhibitor, and antibiotics did not improve the patient's symptoms. He was subsequently taken to the operating room for bilateral maxillary antrostomies (Figure 2 and Figure 3).

First Page Preview View Large
First page PDF preview
First page PDF preview
×