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KMID : 0361019980410010126
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 1 p.126 ~ p.129
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Four Cases of Sinonasal Tuberculosis
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박정혁/Jeong Hyeog Park
이봉재/Bong Jae Lee
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Abstract
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Tuberclosis of the nose and paranasal sinuses is so rare that only 43 cases of primary tuberculosis of paranasal sinuses had been reported in literature worldwide. Recently, the authors have experienced 4 cases of tuberculosis developed in the
nose
and/or paranasal sinuses. We reviewed medical rediological and histopathological findings of these cases to find out the clinical features and treatment outcome. Chief complaints of patients were cheek swelling or nasal obstruction. One case had
inactive pulmonary tuberculosis on the chest X-ray film, whereas the others had no evidence of previous tuberculosis infection. All cases revealed abnormalities in the maxillary sinuses. One case was diagnosed with tuberculosis after a tissue
biopsy
from the inferior turbinate, and the others were diagnosed with tissue biopsies from the maxillary sinus mucosa taken during endoscopic sinus surgery or Caldwell-Luc's operation. Histopathologic examinations revealed granulommatous inflammation
and
caseation necrosis. All cases showed positive reactions in acid fast bacteria (AFB) staining or culture for AFB. Patients were managed with periodic nasal dressing and antituberculous chemotherapy over 9 months and they became free of symptoms.
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KEYWORD
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