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December 1967

The Resident's Page

Arch Otolaryngol. 1967;86(6):704-707. doi:10.1001/archotol.1967.00760050706021

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Sydney D. Wruble, MD, Miami, Fla  A 70-year-old Negro diabetic woman complained of right-sided nasal stuffiness and a feeling of painless fullness of six months duration in the vicinity of the right maxillary antrum. She denied any previous symptoms or signs of sinusitis and had never noted any purulent discharge from the nose. Likewise, no purulent material was seen on physical examination and no tenderness could be elicited over the right maxillary antrum. The nasal mucosa on the right appeared somewhat hypertrophied and pale but was not unlike the mucosa on the left side. X-rays, which included tomography of the right antrum, were interpreted as a tumor involving the right maxillary antrum with destruction of the lateral wall. There was questionable bony destruction of the inferior floor of the orbit. Transnasal needle biopsies and washings of the antrum were unsuccessful in that no tissue or material

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