Paediatric maxillary antrolith: A case report

Abstract

Objective: To report a case of maxillary antrolith in a paediatric patient. Method: Here 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. Results: A 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. Conclusion: Maxillary 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.