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May 1960

Papillary Fibroma (Mole) of the Maxillary Antrum

Author Affiliations

Salonika, Greece
Dr. Tsikoudas is a former holder of U.S. Government Fulbright Travel Grant and former resident of the Department of Otolaryngology, Bellevue Hospital, New York.

AMA Arch Otolaryngol. 1960;71(5):807-809. doi:10.1001/archotol.1960.03770050067010

Fibroma involving the maxillary sinus is extremely rare. The first reported case, involving the floor of the antrum, was described by J. Harper in 1927: There are frequent reports by other authors, but their cases have usually been ossifying fibromas, juvenile fibromas, benign giant-cell tumors, and fibromas of the nasal cavity or other sinuses that invade the antrum.

Report of Case  A 5-year-old girl with a history for the previous year of a swelling of the right cheek with upward displacement of the bulb and total obstruction of the nasal cavity. She had no history of epistaxis. Her skin was of normal color and mobility. There was a fullness of gingivolabial fold (buccoalveolar sulcus) which on pressure was hard, fluctuated slightly, but was not painful. The ears, mouth, teeth, and pharynx appeared normal. Her general condition was good. Upon transilumination, the right maxillary sinus appeared dark compared with the left.