Department of Oral and Maxillofacial Surgery, S C B Dental College and Hospital, Cuttack, Orissa, India.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Jul;116(1):e27-31. doi: 10.1016/j.oooo.2011.11.027. Epub 2012 Jul 3.
Extrapulmonary sites of tuberculosis, which represent 15% of all sites, most commonly involve lymph nodes and bones. Facial bones and paranasal sinuses are rarely involved in the process. Tuberculosis of maxilla is an extremely rare condition, which usually presents with involvement of anterior wall of the maxillary sinus. Symptoms may include nasal discharge with partial nasal obstruction and mild pain. It still remains an underdiagnosed entity.
We report a case of tuberculoma of the whole left maxilla extending into the orbit, with no previous history of pulmonary tuberculosis. Tuberculosis of paranasal sinus is a rare entity and is nearly always secondary to pulmonary or extrapulmonary tuberculosis, but this report describes the incidence of primary infection of extrapulmonary site.
Any chronic granulomatous lesion present over the maxillofacial region which does not respond to initial antibiotic therapy may be suspected as tubercular infection and should be ruled out with priority.
肺外结核占所有结核的 15%，最常累及淋巴结和骨骼。面骨和副鼻窦很少受累。上颌骨结核极为罕见，通常表现为上颌窦前壁受累。症状可能包括带有部分鼻塞和轻度疼痛的鼻腔分泌物。它仍然是一种诊断不足的疾病。
我们报告了一例累及整个左侧上颌骨并延伸至眼眶的结核瘤，患者无既往肺结核病史。鼻窦结核是一种罕见的疾病，几乎总是继发于肺或肺外结核，但本报告描述了肺外部位原发性感染的发生率。
任何在颌面区域出现的慢性肉芽肿性病变，如果对初始抗生素治疗没有反应，都可能被怀疑为结核感染，应优先排除。
