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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-10-20
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pubmed:abstractText |
Vacuum 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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0194-5998
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
107
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
21-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1528598-Aged,
pubmed-meshheading:1528598-Cadaver,
pubmed-meshheading:1528598-Cranial Nerve Diseases,
pubmed-meshheading:1528598-Endoscopy,
pubmed-meshheading:1528598-Facial Pain,
pubmed-meshheading:1528598-Humans,
pubmed-meshheading:1528598-Maxillary Nerve,
pubmed-meshheading:1528598-Middle Aged,
pubmed-meshheading:1528598-Surgical Procedures, Operative,
pubmed-meshheading:1528598-Tomography, X-Ray Computed
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pubmed:year |
1992
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pubmed:articleTitle |
Infraorbital nerve dehiscence: the anatomic cause of maxillary sinus "vacuum headache"?
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pubmed:affiliation |
ENT Department, Radcliffe Infirmary, Oxford, England.
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pubmed:publicationType |
Journal Article
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