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December 1962

Infectious Osteonecrosis of the Maxilla

Arch Otolaryngol. 1962;76(6):558-561. doi:10.1001/archotol.1962.00740050572014

Severe infections of the maxillary sinus are today relatively uncommon and complications rare. Blockage of the eustachian tube and secondary otitis media, involvement of other sinuses, and infections of the pharynx and lower respiratory tract are those commonly encountered and easily recognized. Only rarely is there extension of the infectious process through the bony confines of the maxillary antrum to the orbit, cheek, palate, and alveolar process unassociated with surgical intervention. Indeed, when osteolytic lesions of the maxillary sinus are seen, they are frequently considered to be carcinoma of the antrum by both radiologists and otolaryngologists. The likelihood of a primary infectious process may be summarily dismissed. In the past 3 years 5 cases of osteonecrosis and bony erosion of the maxillary sinus secondary to acute and chronic infection have been encountered by us. Because of the relative rarity of this complication and the frequent misdiagnosis, it was felt that

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