Abstract

ObjectiveTo report a case of maxillary antrolith in a paediatric patient. MethodHere we present a case report of a maxillary antrolith in a 15-year-old male and a review of literature regarding unilateral opaque paranasal sinus lesions including maxillary antroliths. ResultsA 15-year-old male presented with a 5-month history of left sided facial swelling, nasal obstruction and anosmia. He was managed as a chronic sinusitis with topical decongestant and steroids to little effect. MRI demonstrated an enlarged right maxillary sinus and a T2 enhancing 12 × 12mm calcified lesion in the left maxillary sinus with sinusitic change. ConclusionMaxillary antroliths are often incidental findings on imaging but can present as chronic sinusitis. This case highlights a rare differential of unilateral radiopaque paranasal sinus lesions in the paediatric population.

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