Odontogenic sinusitis and bilateral palatine tori

Case contributed by Jeffrey Cheng
Diagnosis almost certain

Presentation

Headache following fall.

Patient Data

Age: 65 years
Gender: Male

Extensive mucosal thickening in the right maxillary sinus is likely secondary to advanced dental infection around the roots of 16 and 17, eroding the alveolar bone into the maxillary sinus.

Incidental bilateral palatine tori.

Case Discussion

Odontogenic sinusitis is an infectious process within the maxillary sinuses that extends superiorly from the roots of the upper teeth which pierce the sinus floor.

Incidentally noted in this study is bilateral palatine tori (or maxillary tori) which is a normal anatomical variant and is characterized by bony outgrowths from the palatine or alveolar processes of the maxilla.

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