[Oradlist] Plaintext : maxillary sinus antroliths?

[Johan Aps]

Plaintext : maxillary sinus antroliths?Dear Kenneth, Axel and Douglas, 

I am awake again and just read your comments.
If these are exostoses, they could also be located on the inside of the maxillary sinuses and not only on the ouside of the maxillary lateral wall, as suggested by Axel. Anyway, we have well circumscribed osseous lesions (opacity of spongeous bone), probably both within both maxillary sinuses on 3 2D images. Let's keep it at our radiological differential diagnosis of anthroliths, exostoses, osteomas (order from most probable to least probable), shall we?  

What about this; patient with severe caries developped several apical granulomas, which became calcified over time because his body wanted to protect itself against worse? 
In that case we are looking at an anthrolith aren't we?

Just a thought :-/

Johan 
______________________________________________________________________
Prof. Dr. Johan K.M. Aps 
(DDS, MSc Paed. Dent. & Special Care, MSc DMFR (King's College London, UK), PhD)
Head of Dental & Maxillofacial Radiology
Coordinator Postgraduate Teaching in Dentistry Ghent University (accreditation system Belgium)
Senior Clinical Consultant Ghent University Hospital, Dental School
UZG, P8, Dental School, De Pintelaan 185, 9000 Gent, Belgium
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  ----- Original Message ----- 
  From: Abramovitch, Kenneth 
  To: Oral Radiology Discussion Group 
  Sent: Monday, November 30, 2009 9:57 PM
  Subject: Re: [Oradlist] Plaintext : maxillary sinus antroliths?


  If so, they should be detectable on clinical examination.

   

  KA

   

  From: oradlist-bounces at lists.ucla.edu [mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of Ruprecht, Axel
  Sent: Monday, November 30, 2009 2:32 PM
  To: 'Oral Radiology Discussion Group'
  Subject: Re: [Oradlist] Plaintext : maxillary sinus antroliths?

   

  Doug

   

  I think that these are not antroliths but so-called antral projections, that is, exostoses.

   

  Rgds

  Axel

   

   

  Axel Ruprecht D.D.S., M.Sc.D., F.R.C.D.(C)

  Diplomate of the American Board of Oral and Maxillofacial Radiology

  Gilbert E. Lilly Professor of Diagnostic Sciences

  Professor and Director of Oral and Maxillofacial Radiology

  Director of Advanced Education in Oral and Maxillofacial Radiology

  Professor of Radiology

  Professor of Anatomy and Cell Biology

  http://ruprecht.radiology.uiowa.edu

  319-335-7341

   

   

   

  From: oradlist-bounces at lists.ucla.edu [mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of Douglas Benn
  Sent: Monday, November 30, 2009 12:48 PM
  To: 'Oral Radiology Discussion Group'
  Subject: [Oradlist] Plaintext : maxillary sinus antroliths?

   

  Dear Colleagues,
   
  An incidental finding of multiple well defined small opacities in both maxillary sinuses. Male 25 yrs. Med History - smokes - 7-pack years.  Denies recreational drugs. No medications. Gross caries.
   
  Are these just antroliths or could they be multiple osteomas?
   
  Best wishes.
   
  Douglas

  Dr Douglas K Benn, BDS, M.Phil., Ph.D., Dipl. Dental Radiology (Royal
  College of Radiologists, England).
  Professor
  Dept of General Dentistry
  Creighton University Dental School
  2500 California Plaza
  Omaha
  Nebraska 68178

  Tel: (402)280 5025
  Fax: (402)280 5094



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