Diagnosis of ethmoid sinolith by cone-beam computed tomography: case report and literature review

• Published in: Oral radiology Vol. 35; no. 1; pp. 68 - 72
• Main Authors: da Costa, Eliana Dantas, Verner, Francielle Silvestre, Peyneau, Priscila Dias, de Freitas, Deborah Queiroz, de Almeida, Solange Maria
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01.01.2019; Springer Nature B.V
• Subjects: Canine teeth; Case Report; Case reports; Computed tomography; Dentistry; Differential diagnosis; Image processing; Imaging; Literature reviews; Medical diagnosis; Medical imaging; Medicine; Oral and Maxillofacial Surgery; Radiology; Sinus; Cone-beam computed tomography; Paranasal sinus; Ethmoid sinus
• ISSN: 0911-6028; 1613-9674
• DOI: 10.1007/s11282-017-0310-z

Introduction The aim of this study was to report the first case of diagnosis of a rare ethmoid sinolith by cone-beam computed tomography (CBCT) and discuss the importance of carefully assessing the entire volume of the images regardless of the region of interest. Case presentation A 22-year-old woman underwent CBCT examination to assess the upper permanent canine teeth. Analysis of the entire volume of CBCT revealed an oval-shaped hyperdense, homogeneous, expansive formation with defined boundaries located in the ethmoid bone. The differential diagnosis of a sinolith in the ethmoid sinus was confirmed after removal of the lesion by nasoendoscopy and histopathological examination. Conclusion The diagnosis of lesions in the ethmoid sinus is challenging because of the complex anatomy of this region. Considering the limitations of two-dimensional X-ray examination, CBCT examination has become an important imaging modality for the diagnosis of these calcifications. In addition, the ability of the dental surgeon to assess the entire volume of the CBCT images and the knowledge of imaging features of these calcifications allows for recognition of incidental findings, facilitating early diagnosis and appropriate treatment.