Abstract
We experienced 74 cases of unilateral paranasal sinus disease at the ENT clinic of Kudansaka Hospital since July, 1984 to February, 1986.
Seventy of the 74 cases (94.6%) were inflammatory paranasal sinus diseases, and among them chronic sinusitis was the most common disease. The rest of the patients were affected by tumors. Among them, 2 cases were benign and the other 2 cases were malignant tumors (squamous cell carcinoma and extramedullaryplasmacytoma).
Although CT-scan was a useful tool to detect the unilateral paranasal sinus disease, it will help to detect the early case of maxillary carcinoma without bone destruction.
When conservative therapy fails to improve the unilateral sinus disease, surgical treatment should be considered.