gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

Paranasal sinuses as rare involvement in Sarcoidosis – Case report and literature review

Poster Rhinologie

  • corresponding author Afnan Rajeh - HNO Universitätsklinik, Charité, CBF, Berlin
  • Andreas Albers - HNO Universitätsklinik, Charité, CBF, Berlin
  • Annett Pudszuhn - HNO Universitätsklinik, Charité, CBF, Berlin
  • Veit Maria Hofmann - HNO Universitätsklinik, Charité, CBF, Berlin

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2017;13:Doc037

doi: 10.3205/cpo001591, urn:nbn:de:0183-cpo0015916

Published: April 26, 2017

© 2017 Rajeh et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Background: The predilection for sinunasal involvement with sarcoidosis is rare and reported in about 1% of sarcoidosis cases only. The reported patients presented with common chronic rhinosinusitis symptoms such as nasal obstruction, rhinorrhea, anosmia, epistaxis and facial pain.

Case: In this review will be reported from a case of sarcoidosis presented in a otorhinolaryngology clinic with left side nasal obstruction and pressure pain in the left maxillary sinus and forehead for 6 months. CT of the paranasal sinus from the 31 years old women revealed typical signs of chronic pansinusitis of the left maxillary, anterior ethmoidal, and the frontal sinuses was founded.

Results: As the conservative topical therapy with cortisone was not effective in this case, patient was treated surgically with a functional endoscopic sinus surgery (FESS). The pathological findings after the operation reported mucosal granulations with sarcoidosis involvements. In the medical history there is since 4 years sarcoidosis with pulmonary, hilary lymphadenopathy, liver involvement as well as Iritis is known. Follow up visits six months after the operation showed significant improvement of symptoms with no recurrence.

Conclusions: The aim of this report in view of the literature is to emphasize that in patients with sarkoidosis paranasal sinusitis can be involved though it is quite rare.

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