Multiple Calcifying Odontogenic Cysts Involving the Maxillary Sinus

Nasopalatine duct cysts are the most common non-odontogenic cysts that occur in the maxilla. Cholesterol granulomas, on the other hand, are commonly found in patients with chronic middle ear disease, but rarely occur in the paranasal sinuses. We report a rare case of a 30-year-old woman who was treated for a nasopalatine duct cyst and cholesterol granuloma at the same time. The patient complained of sudden nasolabial pressure and right nasal obstruction from three weeks ago. A 3 cm sized cystic mass, diagnosed as a nasopalatine duct cyst, was observed in the maxilla and haziness of the right maxillary sinus suspected of chronic rhinosinusitis was detected by computerized tomography. Marsupialization of the nasopalatine duct cyst was performed through the endoscopic transnasal approach. Solid mass in the maxillary sinus, diagnosed with cholesterol granuloma by pathology after surgery, was completely removed by endoscopic sinus surgery. The patient was followed up for 18 months without any recurrence or complications.

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Treatment Approaches for Odontogenic Cysts of the Maxillary Sinus

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2 ◽

10.5772/59087 ◽

2015 ◽

Author(s):

Hasan Garip ◽

Sertaç Aktop ◽

Onur Gönül ◽

Kamil Göker

Keyword(s):

Maxillary Sinus ◽

Odontogenic Cysts ◽

Treatment Approaches

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Marsupialization Followed by Enucleation and Chemical Cauterization for Treatment of Odontogenic Keratocyst Involving Maxillary Sinus: A Case Report

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v8i4.478 ◽

2019 ◽

Vol 8 (4) ◽

pp. 208-212

Author(s):

Muhammad Jamal ◽

Muhammad Zeeshan Baig ◽

Laiba Saher ◽

Muhammad Asim

Keyword(s):

Maxillary Sinus ◽

Treatment Options ◽

Odontogenic Keratocyst ◽

Odontogenic Cysts ◽

Oral Epithelium ◽

Lower Lip ◽

Dental Lamina ◽

The Face ◽

History Of ◽

One Year

Odontogenic keratocysts are odontogenic cysts which have locally infiltrative behavior. They mostly occur in second and fourth decades but can occur at any age throughout life. In majority of cases, they are located in the posterior region of mandible, but can also be found in the maxilla especially in the canine region. In this article, we have discussed the diagnosis and management of a large odontogenic keratocyst cyst involving the maxillary sinus. A 22 years old male patient presented with pain and swelling on right side of the face since last one year. There was history of pus discharge and gradual increase in size of the swelling since last 3-4 months. Patient took antibiotics but there was no improvement. Odontogenic keratocyst is a developmental pathology which arises from additional remnants of dental lamina of oral epithelium. They present with swelling, pain and pus formation/discharge as signs of infection. Often, when the lesion is large there can be paresthesia of the lower lip. These lesions can also be clinically asymptomatic. Mostly they appear as well-demarcated unilocular radiolucency having a thin, sclerotic well-defined margin. There are many treatment options like enucleation, marsupialization, decompression, curettage, use of chemical agents like Carnoy's solution, cryotherapy with liquid nitrogen or peripheral osteotomy and surgical resection of lesion.

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Surgical management of odontogenic cysts involving the maxillary sinus- a retrospective study

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2020.06.011 ◽

2020 ◽

Vol 48 (8) ◽

pp. 800-807 ◽

Cited By ~ 1

Author(s):

Ahmad Safadi ◽

Shlomi Kleinman ◽

Dana Gigi ◽

Anat Wengier ◽

Itay Oz ◽

...

Keyword(s):

Retrospective Study ◽

Maxillary Sinus ◽

Surgical Management ◽

Odontogenic Cysts

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Immediate Rehabilitation of Elderly Patient with Large Proportion Residual Cyst

Journal of Health Sciences ◽

10.17921/2447-8938.2018v20n3p164-166 ◽

2018 ◽

Vol 20 (3) ◽

pp. 164

Author(s):

José Luiz Rodrigues Leles ◽

Luís Ricardo Machado Magalhães ◽

Everton José da Silva ◽

Paula Gabrielle de Castro Trigueiro ◽

Álvaro Henrique Borges ◽

...

Keyword(s):

Maxillary Sinus ◽

Tissue Repair ◽

Odontogenic Cysts ◽

Titanium Mesh ◽

Cyst Size ◽

Bone Deformity ◽

Good General Health ◽

Incomplete Removal ◽

One Year ◽

Large Bone

Abstract Residual cyst is consequence of a radicular cyst incomplete removal. This paper presents the case of a patient with residual cyst of unusual size located in the pre-maxilla causing large bone defect rehabilitated by titanium mesh. A 78-year-old male patient with good general health sought treatment reporting maladjustment of the upper dental prosthesis due to a volumetric increase with one year of evolution. Patient history and clinical and complementary exams led to diagnosis of residual cyst. Due to the cyst size and bone resorption, after the lesionremoval, a titanium mesh was fixed and a membrane positioned, in an attempt to reduce bone deformity and induce tissue repair to avoid functional and aesthetic sequelae. The treatment restored maxillary sinus health and provided satisfactory aesthetic contours to the patient’s face, enabling a proper prosthetic rehabilitation and proved to be a viable alternative for the treatment of similar cases.Keywords: Maxillary Sinus. Odontogenic Cysts. Surgical Mesh.ResumoO cisto residual é consequência da remoção incompleta de um cisto radicular. Este artigo apresenta o caso de um paciente com cisto residual de tamanho incomum localizado na região pré-maxilar causando grande defeito ósseo reabilitado com uso de tela de titânio. Paciente do sexo masculino, 78 anos, com boa saúde geral procurou tratamento com desajuste da prótese dentária superior, devido a um aumento volumétrico com um ano de evolução. A história do paciente e exames clínicos e complementares levaram ao diagnóstico de cisto residual. Devido ao tamanho do cisto e à reabsorção óssea, após a remoção da lesão, uma tela de titânio foi fixada e uma membrana posicionada, na tentativa de reduzir a deformidade óssea e induzir a reparação tecidual para evitar sequelas funcionais e estéticas. O tratamento restaurou a saúde do seio maxilar e forneceu contornos estéticos satisfatórios para a face do paciente, permitindo uma reabilitação protética adequada e provou ser uma alternativa viável para o tratamento de casos semelhantes.Palavras-chave: Cistos Odontogênicos, Seio Maxilar, Telas Cirúrgicas

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Odontogenic Cysts and Tumors of Maxilla and Maxillary Sinus (A Clinicopathological Analysis)

Journal of Baghdad College of Dentistry ◽

10.26477/jbcd.v33i4.3018 ◽

2021 ◽

Vol 33 (4) ◽

pp. 38-43

Author(s):

Shahad A Waheed ◽

Taghreed F Zaidan ◽

Bashar H Abdullah

Keyword(s):

Maxillary Sinus ◽

Dentigerous Cyst ◽

Clinicopathological Features ◽

Odontogenic Cysts ◽

Radicular Cyst ◽

Impacted Tooth ◽

Clinicopathological Analysis ◽

Male Patients ◽

The Mean ◽

Similarities And Differences

Background: Knowledge about the prevalence and distribution of pathologies in a particular location is important when a differential diagnosis is being formulated. The aim of this study was to describe the prevalence and the clinicopathological features of odontogenic cysts and tumors affecting the maxilla and to discuss the unusual presentation of those lesions within maxillary sinus. Materials and Methods: A multicenter retrospective analysis was performed on pathology archives of patients who were diagnosed with maxillary odontogenic cysts and tumors from 2010 to 2020. Data were collected with respect to age, gender and location. Result: A total of 384 cases was identified, 320 (83.3%) cases were diagnosed as odontogenic cysts and 64 (16.6%) as odontogenic tumors. The mean age was 30.5 years with a standard deviation of 16.2 years. Male patients were more commonly affected (n=220, 57.3%). Radicular cyst was the most common cyst (n=205, 64.1%), while the most common tumor was odontoma (n=14, 21.9%) and dentigerous cyst was the most common lesion to present within the maxillary sinus. Conclusion: This study indicates that there are some geographic similarities and differences in regard to distribution of odontogenic cysts and tumors in maxilla and it raises awareness of their presentation within maxillary sinus especially if there is an association with an ectopic or adjacent impacted tooth.

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