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Maxillary Sinus

Muneerah Al-Saanoni

Introduction :
Are air filled spaces that occupy the maxillary bones bilaterally.
When they become pneumatized ?

Primary pneumatization. Secondary pneumatization

Histology :

The sinus lined by Respiratory epithelium (cilia and ,mucus )

Pneumatized : having air-filled cavities

Anatomy :
Four sided pyramid

DONAL McDONNELL', et al 1992

Pathogeneses of MS :
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Non-odontogenic infections : Mucosal changes ,Obstruction and Bacterial growth.

Odontogenic infections:

How to examine ?
Signs and symptoms :

Feeling of pressure +Headache Altered voice Pain on head movement. Swelling and redness Nasal discharge

How to examine ? Tapping Palpation

Radiographically :
Plane Films. CBCT. MRI.

Ct showing ifected maxillary sinus

Thank you
References :
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Contemporary oral and maxillofacial surgery, James R.Hupp et al , 2009 , fifth edition. Oral radiology principles and interpretation by Stuart C. White and Michael J. Pharoah the sixth edition.