Decompression as an effective primary approach to large radicular cyst in maxillary sinus: A case report

Introduction. Therapeutic approach to jaw cysts may depend on their dimensions and localization. Enucleation of cystic lesion is not always preferable in the first act, especially if large cysts are in close proximity to important anatomical structures. The aim of this paper was to present the outcome of the treatment protocol comprising preoperative decompression and subsequent enucleation of a large maxillary cyst. Case report. A 21-year-old male patient with large asymptomatic radicular cyst in the right maxillary sinus was presented to our clinic. Cone-beam computed tomography (CBCT) showed a large cyst, which perforated the right anterior maxillary wall by 1.5 cm, and was in the intimate contact with the orbital floor. Surgical treatment of the cystic lesion comprised: preoperative decompression with biopsy in the first act and enucleation, performed under general anesthesia, 6 months after the observation period. Conclusion. Decompression with subsequent enucleation proved to be effective treatment of large radicular cyst in maxillary sinus with low-morbidity.

Download Full-text

Respiratory Epithelium Lined Cyst of the Maxilla: Differential Diagnosis

Case Reports in Pathology ◽

10.1155/2017/6249649 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

C. P. Martinelli-Kläy ◽

S. Chatelain ◽

F. Salvado ◽

T. Lombardi

Keyword(s):

Maxillary Sinus ◽

Coming Out ◽

Previous History ◽

Respiratory Epithelium ◽

Periodontal Pocket ◽

Radicular Cyst ◽

Diagnostic Challenge ◽

Maxillary Cyst ◽

The Right ◽

Root Apices

Maxillary cysts, including the cysts lined by respiratory epithelium, can present a diagnostic challenge. We report an unusual case of a maxillary cyst on an endodontically treated tooth #16, in which the cavity was totally lined by a respiratory epithelium. The patient, a 35-year-old male, presented with a generalized chronic periodontitis and complained of a pain in the tooth #16 region. A periodontal pocket extending to the root apices with pus coming out from the gingival was found. A combined endodontic periodontal was observed on a panoramic radiography. CBCT-scan revealed a well-circumscribed radiolucent lesion at the apices of the distobuccal root of the 16. A communication with the right maxillary sinus cavity and a maxillary and ethmoidal sinusitis were also observed. The lesion was removed and histological examination revealed a cyst lined exclusively by respiratory epithelium. Ciliated and rare mucous cells were also observed. The diagnosis could evoke a surgical ciliated cyst mimicking the radicular cyst but the patient has no previous history of trauma or surgery in the maxillofacial region. It could also be an unusual radicular cyst in which the stratified squamous epithelium was destroyed by inflammation and replaced by a respiratory epithelium of the maxillary sinus.

Download Full-text

Maxillary sinus aspergillosis: A case report of the timely failure to treatment

Iranian Journal of Microbiology ◽

10.18502/ijm.v11i4.1473 ◽

2019 ◽

Author(s):

Asma Beyki ◽

Mahmud Zardast ◽

Zahra Nasrollahi

Keyword(s):

Case Report ◽

Invasive Aspergillosis ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Tooth Extraction ◽

Histopathological Examination ◽

Maxillary Sinusitis ◽

Eye Pain ◽

Lower Jaw ◽

The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

Download Full-text

Squamous cell carcinoma of the right maxillary sinus associated with penicilliosis: a case report.

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.44.58 ◽

1998 ◽

Vol 44 (1) ◽

pp. 58-60

Author(s):

Fujio ATSUTA ◽

Jiro KATO ◽

Hidetaka YOKOE ◽

Tsuneo MIYA ◽

Hideki TANZAWA ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Cell Carcinoma ◽

Maxillary Sinus ◽

Squamous Cell ◽

The Right

Download Full-text

A Large Radicular Cyst Involving the Maxillary Sinus – A Case Report

Scholars Journal of Dental Sciences ◽

10.36347/sjds.2021.v08i04.003 ◽

2021 ◽

Vol 8 (4) ◽

pp. 115-117

Author(s):

M. Bala Jagadish ◽

Dr. Sridhar Reddy Kanubaddy

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Radicular Cyst

Download Full-text

Apicotomy as Treatment for Failure of Orthodontic Traction

Case Reports in Dentistry ◽

10.1155/2013/168232 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Leandro Berni Osório ◽

Vilmar Antonio Ferrazzo ◽

Geraldo Serpa ◽

Kívia Linhares Ferrazzo

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Dentigerous Cyst ◽

Dental Arch ◽

Effective Technique ◽

Presumptive Diagnosis ◽

Tooth Position ◽

Sinus Infection ◽

Vitality Test ◽

The Right

Objective.The purpose of this study was to present a case report that demonstrated primary failure in a tooth traction that was subsequently treated with apicotomy technique.Case Report.A 10-year-old girl had an impacted upper right canine with increased pericoronal space, which was apparent on a radiographic image. The right maxillary sinus showed an opacity suggesting sinusitis. The presumptive diagnosis was dentigerous cyst associated with maxillary sinus infection. The plan for treatment included treatment of the sinus infection and cystic lesion and orthodontic traction of the canine after surgical exposure and bonding of an orthodontic appliance. The surgical procedure, canine position, root dilaceration, and probably apical ankylosis acted in the primary failure of the orthodontic traction. Surgical apical cut of the displaced teeth was performed, and tooth position in the dental arch was possible, with a positive response to the pulp vitality test.Conclusion.Apicotomy is an effective technique to treat severe canine displacement and primary orthodontic traction failure of palatally displaced canines.

Download Full-text

Vallecular cyst in an infant with stridor: a case report

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v6i1.20578 ◽

2018 ◽

Vol 6 (1) ◽

pp. 58-62

Author(s):

Nabin Lageju ◽

Rajendra Prasad Sharma Guragain

Keyword(s):

Case Report ◽

Ct Scan ◽

Cystic Lesion ◽

Failure To Thrive ◽

Surgical Excision ◽

Infants And Children ◽

Solid Component ◽

Feeding Difficulties ◽

The Right ◽

In Infants And Children

Background and Objectives: Vallecular cysts are rare and generally asymptomatic. In infants and children they present with stridor, feeding difficulties, failure to thrive. Treatment is surgical excision with cautery or laser.Presentation of Case: We discuss the clinical, radiological presentation of a 7 months old child with vallecular cyst which was surgically treated with deroofing and marsupialisation with elecrocautery. There was no recurrence even up 2 years of follow-up.Discussion: Flexible nasopharyngolaryngoscopic examination was done which showed present of swelling in the left vallecula pushing the epiglottis posteriorly and to the right with narrowed normal endolarynx. Radiological investigations with CT scan showed cystic lesion noted in left side of neck with no septation and solid component. The lesion was extending to ipsilateral vallecula and paraglottic region with narrowing of endolarynx.Conclusion: Vallecular cyst is rare cause of noisy breathing in infants and children. In adults it is usually asymptomatic. Treatment of choice is marsupialization with electrocautery or laser.

Download Full-text

Keratocystic odontogenic tumor invading the right maxillary sinus: a case report

Journal of Oral Science ◽

10.2334/josnusd.50.345 ◽

2008 ◽

Vol 50 (3) ◽

pp. 345-349 ◽

Cited By ~ 12

Author(s):

Binali Çakur ◽

Özkan Miloglu ◽

Ümit Yolcu ◽

Mustafa Göregen ◽

Nesrin Gürsan

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Odontogenic Tumor ◽

Keratocystic Odontogenic Tumor ◽

The Right

Download Full-text

Dental Implant in the Canalis Sinuosus: A Case Report and Review of the Literature

Case Reports in Dentistry ◽

10.1155/2017/4810123 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 7

Author(s):

José Alcides Arruda ◽

Pedro Silva ◽

Luciano Silva ◽

Pâmella Álvares ◽

Leni Silva ◽

...

Keyword(s):

Case Report ◽

Nasal Cavity ◽

Maxillary Sinus ◽

Anatomical Variation ◽

Review Of The Literature ◽

Upper Lip ◽

Irreversible Damage ◽

Infraorbital Canal ◽

The Right ◽

Canalis Sinuosus

The canalis sinuosus is a neurovascular canal, a branch of nerve of infraorbital canal, through which the anterior superior alveolar nerve passes and then leans medially in course between the nasal cavity and the maxillary sinus, reaching the premaxilla in the canine and incisor region. The purpose of this article is to report a case with the presence of canalis sinuosus, in order to alert and guide professionals and discuss the morphology of this anatomical variation avoiding trans- and postsurgical disorders in dental implants. A 51-year-old female was attended to in a radiology clinic, reporting paresthesia in the right upper lip region and painful symptomatology after the installation of an implant in the corresponding region. The case revealed the presence of canalis sinuosus in imaging exams. The knowledge of this anatomical variation is essential for professionals, because attention to this region prevents irreversible damage. Therefore, the use of imaging examinations is recommended during the planning stages and treatment and after surgery in patients undergoing surgery in this area.

Download Full-text

Esthesioneuroblastoma (ENB): A case report

Journal of Clinical Oncology ◽

10.1200/jco.2006.24.18_suppl.15546 ◽

2006 ◽

Vol 24 (18_suppl) ◽

pp. 15546-15546

Author(s):

E. Troncoso ◽

S. Bonicatto ◽

A. Mainella ◽

A. Barbero ◽

M. Lavezzaro ◽

...

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Soft Palate ◽

Sensory System ◽

Clinical Manifestations ◽

Response To Therapy ◽

Nasal Fossa ◽

History Of ◽

Left Maxillary Sinus ◽

The Right

15546 Background: ENB is a rare embrionary tumor derived from neuroblasts of the olfactory sensory system. Polypoid mass with epistaxis or nasal obstruction are the most common clinical manifestations of this tumor. It’s invasive and it frequently causes regional and distant metastasis. ENB requires a multimodality therapy. The objective of this study is to describe the form of presentation, diagnosis, treatment and evolution of this tumor on a female patient (pt), as a casuistic contribution. Methods and Case Report: A 61 year old woman with a four month history of epistaxis, nasal pain and anosmia. CT shows nasal mass invading the entire nasal cavity and upper maxillary. Pt underwent nasal resection and reconstruction with frontal flaps. Anatomopathology: ENB invading the bone. Cromogranin (+), sinaptofisin (+), CK (−), NSE (−). Three months later: lesion on the right wing nasal and a mass in the soft palate. MRI: mass on the floor of the nasal fossa that involve the left maxillary sinus and the bone palate. Kadish stage C. We treated her with three cycles of chemotherapy using cisplatin 30 mg/sqM d 1–3 iv and etoposide 100 mg/sqM d 1–3 iv. After that, remission was observed in the wing nasal lesion but the the soft palate mass shows progression. MRI: mass in nasal fossa that destroys the left maxillary sinus and causes lysis of the upper maxillary and orbital floor. Pt was treated with radiotherapy (6000 cGy) showing complete remission of the nasal lession and partial response on the soft palate, verified by physical examination and RMI. Four months after the end of radiotherapy, she continues under control and maintains the response to therapy without evidence of progression. Conclusion: ENB is an unfrequent tumor without any standard treatment. In our case, the combination of surgery, CH and RT has been effective for local control of the disease with good tolerance and acceptable quality of life. No significant financial relationships to disclose.

Download Full-text