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Case Reports in Otolaryngology
Volume 2013, Article ID 836064, 5 pages
Case Report

Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache

1Department of Otorhinolaryngology, General Hospital of Nikea-Piraeus, Greece
2Department of Otorhinolaryngology, “Attikon” University Hospital of Athens, Greece

Received 20 September 2013; Accepted 30 October 2013

Academic Editors: A. Rapoport, K. Takano, and A. Taş

Copyright © 2013 Panagiotis Kousoulis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The objective of this case report is to present a patient with chronic headache who was diagnosed with excessive aeration of all paranasal sinuses and mastoid air cells using computed tomography imaging. The volume and linear measurements of all of the cavities revealed values greater than the greatest values reported in the literature. To date, this is the second reported case of excessive enlargement of all paranasal sinuses and the first which includes the enlargement of the mastoid air cells. No surgical intervention was required for the patient, but in similar cases, with more severe symptoms, surgical treatment is a challenge for the surgeon and may mandate a multidisciplinary approach.