Pietrantoni syndrome

Pietrantoni syndrome (L. Pietrantoni) - pain, and in some cases the disorder sensitivity (gipestesia or anesthesia in the area of innervation of the second branch of the trigeminal nerve)caused sdavlennoy individual nerve trunks tumor of the maxillary sinus or the ethmoid bone. These violations depending on the location of the tumor are localized in the following way: 1) when the tumor bottom of the maxillary sinus (top alveolar nerves) - top alveolar bone and the advance of the oral cavity; 2) when the tumor upper wall of the sinus (infraorbital nerve) - lower eyelids, cheek, upper lip, area naso-labial folds; 3) when the tumor rear and side walls (infraorbital and upper back alveolar nerves) - cheek, upper lip, rear upper segment of the alveolar process, the upper molars; 4) if a tumor anterior ethmoid cells (upper nasal nerve) - the inner corner of the eyes, the skin of the upper third of the nose, mucous membrane of the nasal cavity (side walls and partitions; 5) when tumors of the posterior ethmoid cells - temporal-Malar region and the area of the ear. These ratios are quite relative, as the area of innervation of the individual nerve branches, the initial position of the tumor and the direction of its growth vary widely. But for topical diagnosis, they have a certain value. The syndrome Pietrantoni should be differentiated with inflammatory processes in the area of the maxillary sinus and ethmoid bone, as well as with other processes, causing pain in the face (see Prosopalgia, Sukkar syndrome, Ladera syndrome, Trigeminal nerve, Carlina syndrome).