In which direction carcinoma maxilla spread to presented with pain refers to upper tooth
i.e. (Inferior): (221-Dhingra 5th)The direction of spread and extent of growth in Carcinoma of Maxillary Sinus* Medial spread - to the nasal cavity gives rise to nasal obstruction, discharge, and epistaxis.* Anterior spread - causes swelling of the cheek and later invasion of the facial skin* Inferior spread - causes expansion of alveolus with dental pain**, loosening of teeth, poor fitting of dentures, ulceration of gingiva and swelling in the hard plate* Superior spread - invades the orbit causing proptosis, diplopia, ocular pain and epiphora* The posterior spread is into pterygomaxillary fossa pterygoid plates and the muscles causing trismus. Growth may also spread to the nasopharynx, sphenoid sinus, and base of the skull
Medial
Lateral
Inferior
Posterior