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pubmed-article:1528598pubmed:abstractTextVacuum disorders of the paranasal sinuses are well described. Patients with facial pain in the distribution of the infraorbital nerve are often labelled as suffering from a "vacuum maxillary sinusitis" and empirically treated by intranasal antrostomy. A variety of mechanisms have been postulated for the production of symptoms in this condition, but all ignore the fact that the maxillary sinus is a relatively insensitive structure. This article introduces a dehiscence of the bony infraorbital nerve canal within the antrum as an anatomic variant and suggests that it may provide the anatomic basis for vacuum sinusitis in the presence of a small natural ostium. Definitive diagnosis is made by outpatient antroscopy, and surgical treatment takes the form of a middle or inferior meatal antrostomy. Persistent symptoms may benefit from an infraorbital neuropexy to provide added protection to the exposed nerve.lld:pubmed
pubmed-article:1528598pubmed:languageenglld:pubmed
pubmed-article:1528598pubmed:journalhttp://linkedlifedata.com/r...lld:pubmed
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pubmed-article:1528598pubmed:statusMEDLINElld:pubmed
pubmed-article:1528598pubmed:monthJullld:pubmed
pubmed-article:1528598pubmed:issn0194-5998lld:pubmed
pubmed-article:1528598pubmed:authorpubmed-author:WhittenH DHDlld:pubmed
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pubmed-article:1528598pubmed:volume107lld:pubmed
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pubmed-article:1528598pubmed:pagination21-8lld:pubmed
pubmed-article:1528598pubmed:dateRevised2004-11-17lld:pubmed
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pubmed-article:1528598pubmed:year1992lld:pubmed
pubmed-article:1528598pubmed:articleTitleInfraorbital nerve dehiscence: the anatomic cause of maxillary sinus "vacuum headache"?lld:pubmed
pubmed-article:1528598pubmed:affiliationENT Department, Radcliffe Infirmary, Oxford, England.lld:pubmed
pubmed-article:1528598pubmed:publicationTypeJournal Articlelld:pubmed
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