scholarly journals Modified transnasal endoscopic medial maxillectomy with inferior turbinate flap for dentigerous cyst

2015 ◽  
Vol 45 (2) ◽  
pp. 151 ◽  
Author(s):  
Retno Sulistyo Wardani ◽  
Michael Lekatompessy ◽  
Brent Anthony Senior

Background: Dentigerous cyst is one of the most frequent types of odontogenic cyst that usually involving an impacted, supernumerary or ectopically erupted tooth. One of the non-dental sites for ectopiceruption is the maxillary sinus. The traditional approach under such circumstances is a Caldwell-Luc maxillotomy, but this type of procedure may result in significant long-term complications. Endoscopic transnasal medial maxillectomy (ETMM) has several advantages, such as good il lumination, as wellas clear and magnified visualization. The new modified endoscopic transnasal medial maxillectomy(METMM) can provide good visualization and more functional result by preserving the nasolacrimalduct and the inferior turbinate. Purpose: We present this case to introduce the METMM technique forextirpation of any tumor in the maxillary sinus. Case: One case of dentigerous cyst with an ectopicleft maxillary 3 molar tooth in a 27 year old woman who presented with sinusitis. Management:Surgery with a METMM technique to enucleate the cyst, combined with functional endoscopic sinussurgery (FESS) for the sinusitis. The patient then evaluated subjectively for epiphora and objectivelywith nasoendoscopic examination. Conclusion: In this case, METMM was effective in accessing themaxillary sinus allowing for tumor extirpation, while preserving the function of the inferior tubinate andnasolacrimal duct. Keywords : Dentigerous cyst, maxillary ectopic tooth eruption, transnasal medial maxillectomy ABSTRAKLatar belakang: Kista dentigerous merupakan salah satu jenis kista otontogenik yang paling sering ditemukan, biasanya berhubungan dengan gigi impaksi, supernumeri atau gigi yang tumbuhektopik. Salah satu tempat erupsi ektopik adalah sinus maksilaris. Pendekatan tradisional dalamkeadaan ini adalah operasi Caldwell-Luc, tetapi teknik operasi ini dapat mengakibatkan komplikasijangka panjang. Maksilektomi medial transnasal dengan endoskopi (MMTE) memiliki beberapakeunggulan, seperti visualisasi yang jelas dan diperbesar. Teknik maksilektomi medial transnasaldengan endoskopi yang dimodifikasi (MMTEM) dapat memberikan visualisasi yang baik dan hasillebih fungsional dengan mempertahankan duktus nasolakrimal dan konka inferior. Tujuan: makalahini diajukan untuk memperkenalkan teknik MMTEM untuk ekstrirpasi massa yang berada di dalamsinus maksila, karena teknik ini memberikan hasil yang lebih fungsional. Kasus: melaporkan satu kasuskista dentigerous dengan gigi molar 3 yang erupsi ektopik pada sinus maksila kiri pada wanita 27tahun. Penatalaksanaan: kasus ini ditatalaksana dengan teknik MMTEM untuk mengenukleasi kistadan BSEF untuk sinusitis. Pasien kemudian dievaluasi secara subjektif dengan anamnesis mengenaiadanya epifora dan objektif dengan pemeriksaan nasoendoskopi. Kesimpulan: MMTEM terbukti efektifuntuk ekstirpasi tumor yang berada di dalam sinus maksila, dan teknik ini juga memberikan hasil yanglebih fungsional dengan dipertahankannya konka inferior dan duktus nasolakrimal. Kata kunci : Kista dentigerous, erupsi gigi ektopik di maksila, transnasal maksilektomi medial

2014 ◽  
Vol 3 (1) ◽  
pp. 44-46
Author(s):  
Kerem ÖZTÜRK ◽  
Sercan GÖDE ◽  
Gülce GÜRSAN ◽  
Bülent KARCI

1997 ◽  
Vol 111 (7) ◽  
pp. 641-643 ◽  
Author(s):  
Enver Altas ◽  
R. Murat Karasen ◽  
A. Berhan Yilmaz ◽  
Bulent Aktan ◽  
Ibrahim Kocer ◽  
...  

AbstractA case of a large dentigerous cyst containing a canine tooth in the maxillary antrum is presented. This case is of interest due because of its extensiveness and thepresence of a canine tooth in the roof of the maxillary sinus. In addition, this caused aright-sided epiphora. Enucleation of the cyst containing the ectopic tooth was made.


2014 ◽  
Vol 52 (4) ◽  
pp. 376-380
Author(s):  
Tsugihama Nakayama ◽  
Nobuyoshi Otori ◽  
Daiya Asaka ◽  
Tetsushi Okushi ◽  
Shin-ichi Haruna

Background: Odontogenic maxillary cysts and tumours originate from the tooth root and have traditionally been treated through an intraoral approach. Here, we report the efficacy and utility of endoscopic modified medial maxillectomy (EMMM) for the treatment of odontogenic maxillary cysts and a tumour. Methodology: We undertook EMMM under general anaesthesia in six patients: four had radicular cysts, one had a dentigerous cyst, and one had a keratocystic odontogenic tumour. Results: The cysts and tumours were completely excised and the inferior turbinate and nasolacrimal duct were preserved in all patients. There were no peri- or postoperative complications, and no incidences of recurrence. Conclusion: Endoscopic modified medial maxillectomy appears to be an effective and safe technique for treating odontogenic cysts and tumours.


2013 ◽  
Vol 6 (2) ◽  
pp. 106-107 ◽  
Author(s):  
Nitin Kumar Jain ◽  
Siddharth Vashistha ◽  
Megha Jain

ABSTRACT Ectopic eruption of teeth into a region other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin and maxillary sinus. Eruption of ectopic teeth in maxillary sinus usually is found incidentally on routine radiological investigations. We present a case of an ectopic maxillary third molar tooth with dentigerous cyst that caused chronic purulent sinusitis in left maxillary sinus. How to cite this article Jain NK, Vashistha S, Jain M. Dentigerous Cyst with Ectopic Third Molar Tooth in Maxillary Sinus causing Chronic Rhinosinusitis. Clin Rhinol An Int J 2013;6(2):106-107.


2019 ◽  
Vol 52 (3) ◽  
pp. 491-494
Author(s):  
Çetin İmamoğlu ◽  
Aydin Tunc Uzel ◽  
İsmail Gedi İbrahim ◽  
İsmail Mohamed Ali

2017 ◽  
Vol 274 (12) ◽  
pp. 4155-4159 ◽  
Author(s):  
Feng Wang ◽  
Yang Yang ◽  
Shenqing Wang ◽  
Haihong Chen ◽  
Dehui Wang ◽  
...  

2016 ◽  
Vol 9 (1) ◽  
pp. 56-58
Author(s):  
Hitesh Verma ◽  
TM Arun ◽  
Amrinder Kaur

ABSTRACT Medial maxillectomy is a surgical resection of the medial walls of the maxillary bone, medial part of the orbital floor, and ethmoid sinuses. Lateral rhinotomy or sublabial degloving is the traditional approach used for an open medial maxillectomy. Endoscopic medial maxillectomy is used as an alternative approach with similar cure rate with less morbidity. We report here a case of inverted papilloma of the medial wall of the right maxillary sinus where the disease clearance was done with preservative of nasolacrimal duct, inferior turbinate, and lateral nasal wall mucosa by the endoscopic medial maxillectomy approach. How to cite this article Verma H, Dass A, Singhal SK, Gupta N, Arun TM, Kaur A. Changing Trends in Endoscopic Endonasal Medial Maxillectomy. Clin Rhinol An Int J 2016;9(1):56-58.


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