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A non-Hodgkin lymphomák a fej-nyaki rosszindulatú daganatok ritka formái. Gyakran mellékleletként kerülnek diagnosztizálásra,vagy előrehaladott állapotban, a klinikai tünetek megjelenésével. A stomato-onkológiai szűrés során akkor lehetségesdiagnosztizálni, ha valamilyen mértékben a szájüreg felé kezd terjedni. Jelen közleményben egy sinus maxillaristérintő diffúz nagy B-sejtes lymphomás páciens diagnosztikai lépései, onkológiai ellátása és teljes fogászati rehabilitációjakerül bemutatásra, melyet nagymértékben meghatározott a páciens alapbetegsége. Végeredményben a korai diagnózisnak,az időben megkezdett sikeres onkológiai ellátásnak köszönhetően a daganat teljes remissziót mutatott, tizennyolchónap elteltével relapszus nem jelentkezett. A páciens általános állapota jó, az elkészült fogászati restaurátumokkal,fogművekkel elégedett, rendszeres kontrollra visszajár.

The presented report describes the skeletal remains of a young man with multiple pathological changes, dated to between 3800-3700 BC. The studied skeletal remains were subjected to classical anthropological analysis. The palaeopathological study was based on detailed macroscopic examination supplemented by histological and radiological examinations. In addition to the disorder of flat cranial bones, dental developmental defects, traces after periodontal and sinus maxillaris inflammation, partially fractured left rib and fracture of the first lumbar vertebra were found on this skeleton. Based on the mentioned examinations, this finding was evaluated as one of the possibly oldest cases of scurvy in Europe.

Ein Patient stellte sich mit einem keratozystischen odontogenen Tumor des linken Sinus maxillaris vor. Radiologisch fanden sich ausgedehnte druckbedingte knocherne Atrophien der Kieferhohlenwande. Es erfolgte eine endoskopische Zystektomie des Tumors und die anschliesende klinische Nachsorge. Im Verlauf wurde eine erneute radiologische Untersuchung durchgefuhrt, in der sich eine nahezu vollstandige Rekonturierung der Kieferhohlenwande zeigte. Knocherne Rekonstruktionen im Rahmen von schonenden Ersteingriffen, wie der Enukleation, sollten bei der Moglichkeit spontaner Knochenregeneration zuruckhaltend indiziert werden.

Chondrosarcoma is a very rare neoplasm in the head and neck region. This region is associated with favourable prognosis. Only 340 cases of chondrosarcoma of the larynx and nearly 300 of sinus maxillaris have been reported in this localization. The most reasonable treatment is radical surgery. Radiotherapy and chemotherapy are of little value. Without metastasis the long term prognosis is excellent. Clinical, pathologic and radiologic characterities of these tumors are described and review of the literature is presented. The authors present two cases chondrosarcoma of the larynx and one case chondrosarcoma of sinus maxillaries.

Summary In most recent anatomy textbooks as well as in the latest anatomical nomenclature, the maxillary process of the palatine bone is not mentioned at all. The maxillary process is, however with rare exceptions, always present as an important part of the closure of the hiatus sinus maxillaris. In our material consisting of 200 disarticulated, macerated skull bones and 25 specimens of maxillary sinus, the maxillary process was missing in only 5 cases (2.2%). This process develops in the second year of life and displays different shapes. It can be long and slender or wide and round shaped. Its upper margin is more or less concave, corresponding to the margin of the hiatus over which it is bent. Its inferior margin can be smooth or irregular. In instances in which maxillary sinus is double, the os palatinum has two maxillary processes, so that both sinuses are partly closed with the maxillary process of the palatine bone.

Ein 72-jahriger, gesunder Patient stellte sich mit schmerzloser, seit 3 Monaten wachsender Raumforderung (RF) an der Wange links und vergroserten Halslymphknoten vor. In der Computertomographie war eine RF an der fazialen Kieferhohlenwand nachweisbar. Die Biopsie der RF und eines Lymphknotens ergab histologisch Hodgkin-Reed-Sternberg-(HRS-)Zellen. Gesichert wurde der M. Hodgkin immunhistologisch durch Nachweis atypischer blastarer Infiltratzellen mit Reaktivitat fur CD30- und CD15-Oberflachenantigene.

[Figure][1] In March 2012, a 31-year-old male patient was diagnosed with alveolar rhabdomyosarcoma (ARMS) manifesting within the left sinus maxillaris with local lymphonodular metastases. No further metastases could be found by positron emission tomography–magnetic resonance imaging. He

Fungal infections are on the increase and those of the jaw cavities with Aspergillus species may be connected with the root apices of teeth in the upper jaw. Diagnostic changes in the sinus maxillaris and certain types of facial pain may be indicative of fungal infection. The authors report a case of aspergillosis sinusitis and describe the diagnostic methods and treatment of this infection that may be associated with endodontic treatment. O número de infecções fúngicas tem aumentado. Infecções fúngicas com a espécie Aspergillus, presentes nas cavidades dos maxilares, podem estar relacionadas com os ápices dos dentes do arco superior. Mudanças diagnósticas nos seios maxilares e certos tipos de dores faciais podem ser indicativos de infecção fúngica. Os autores relatam um caso de sinusite por aspergilose (aspergillosis sinusitis) e descrevem os métodos de diagnóstico e tratamento desta infecção, que pode estar relacionada com o tratamento endodôntico.

During osteoplastic surgery of the maxillary sinus the surgical defect in the lateral wall of the maxillary sinus is re-closed by means of free reimplantation of the "bone lid", which had been temporarily removed together with the integral mucosa, during creation of the access. This "bone lid"-method has so far been employed successfully in approx. 600 cases. For covering the basal area of the bone lesion of the drainage window to the lower nasal passage, created during surgery by means of a flap of mucosa and periosteum, a novel type of tamponade using an inflatable balloon was tested. The following pages report on the surgical techniques employed and on systematic follow-up investigations.

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