Large Follicular Cyst Associated with Upper Third Molar in the Maxillary Sinus with Pterygomaxillary Space Extension: Reflection on a Case Report

BACKGROUND: Follicular cysts are osteolytic lesions characterized by greater growth, differentiation, and degeneration potentials, compared to inflammatory root cysts. Those connected to upper third molars can disrupt the neighboring teeth and extend to maxillary sinus and adjacent anatomical structures. CASE PRESENTATION: In this study, we present a case of a large dimension follicular cyst associated with the upper third molar, extended to maxillary antrum and pterygomaxillary space, uncommon for dimensions, involving meso- and sovra-structure describing the clinical diagnostic procedures, and the surgical strategies adopted. The cone-beam computed tomography allowed a very accurate analysis of the lesion. Surgical excision was performed through Caldwell-Luc technique, approaching to the pterygomaxillary space. A 1-year follow-up shows good clinical, anatomical, and functional conditions. Histological examination confirmed the diagnosis of follicular cyst. CONCLUSION: Giant follicular cysts require an accurate pre-operative study due to the delicate structures that may be involved.

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Infected Dentigerous Cyst of Maxillary Sinus Arising from an Ectopic Third Molar

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.117461 ◽

2013 ◽

Vol 3 ◽

pp. 7 ◽

Cited By ~ 4

Author(s):

Yadavalli Guruprasad ◽

Dinesh Singh Chauhan ◽

Umashankar Kura

Keyword(s):

Maxillary Sinus ◽

Rare Case ◽

Dentigerous Cyst ◽

Third Molar ◽

Radiographic Examination ◽

Palpable Mass ◽

Follicular Cyst ◽

Pathologic Features ◽

Dentigerous Cysts ◽

Ectopic Third Molar

A dentigerous cyst or follicular cyst is a form of odontogenic cyst. It is believed that it forms during the development of the tooth and is associated with pressure exerted by the crown of an unerupted (or partially erupted) tooth on the fluid within the follicular space. Typically, dentigerous cysts are painless and discovered during routine radiographic examination. However, they may be large and result in a palpable mass. Additionally, as they grow they displace adjacent teeth. They almost exclusively occur in permanent dentition. The cyst is lined by stratified squamous non-keratinizing epithelium. About 70% of dentigerous cysts occur in the mandible and 30% in the maxilla. Dentigerous cysts associated with ectopic teeth within the maxillary sinus are very rare. We report radiologic and pathologic features in a rare case of infected dentigerous cyst of maxillary sinus arising from an ectopic third molar in a 21-year-old female patient.

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Remoção de Terceiro Molar Superior Localizado no Interior do Seio Maxilar: Relato de Caso/ Removal of an Upper Third Molar Located inside the Maxillary Sinus: Case Report

Brazilian Journal of Health Review ◽

10.34119/bjhrv4n3-122 ◽

2021 ◽

Vol 4 (3) ◽

pp. 11172-11184

Author(s):

José Valdir Pessoa Neto ◽

Lucas Alexandre Maia ◽

Paulo Henrique de Brito ◽

Marília de Lima Saraiva Maia ◽

Moisés João Bortoluzzi Júnior ◽

...

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Third Molar ◽

Upper Third

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A Case of Successfully Treated Rhinocerebral Mucormycosis: Dental Implications

International Journal of Dentistry ◽

10.1155/2010/273127 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Nikolaos Papadogeorgakis ◽

Eleni Parara ◽

Vassilios Petsinis ◽

Christina Vourlakou

Keyword(s):

Type I Diabetes ◽

Third Molar ◽

Surgical Excision ◽

Diabetic Patients ◽

Type I ◽

Rhinocerebral Mucormycosis ◽

General Dental Practitioner ◽

Dental Practitioners ◽

Dental Diseases ◽

Upper Third

This paper presents a case of rhinocerebral mucormycosis in a 22-year-old female patient with type I diabetes mellitus, who was successfully treated with surgery and long-term antifungal medication. The patient had initially been submitted to extraction of an upper third molar by a general dental practitioner but was referred to our department three days postoperatively because of double vision. Immediately following histopathological confirmation of the infection, the patient was administered Amphotericin B and Posaconazole intravenously. Surgical excision of the affected site was relatively conservative. The patient was free of the disease 15 months after initial admission to the hospital and has recently returned for reconstruction. The aim of this paper is to increase the awareness of general dental practitioners regarding uncommon serious conditions in diabetic patients, which may be confused with periodontal or dental diseases.

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Removal of an Upper Third Molar from the Maxillary Sinus

Case Reports in Dentistry ◽

10.1155/2015/517149 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Klinger de Souza Amorim ◽

Vanessa Tavares da Silva ◽

Rafael Soares da Cunha ◽

Maria Luisa Silveira Souto ◽

Carla Rocha São Mateus ◽

...

Keyword(s):

Maxillary Sinus ◽

Third Molar ◽

Maxillary Bone ◽

Know How ◽

Car Accidents ◽

History Of ◽

History Of Pain ◽

The Right ◽

Upper Third ◽

Surgical Unit

The maxillary sinus or antrum is the largest of the paranasal sinuses. It is located in the maxillary bone and has a proximity to the apexes of upper molars and premolars, which allows it to form a direct link between the sinus and the oral cavity. Dislocation of a foreign body or tooth to the interior of a paranasal sinus is a situation that can occur as a result of car accidents, firearm attacks, or iatrogenic in surgical procedures. Therefore, it is necessary to know how to treat this kind of situation. This study’s objective is to report the case of a 23-year-old female patient, leucoderma, who sought treatment from the Surgical Unit at the Dental Faculty of the Federal University of Sergipe. She had a history of pain and edema in the right side of the genian region and two failed attempts at removing dental unit (DU) 18. The extraoral clinical exam revealed intense edema of the left hemiface with signs of infection, excoriation of the labial commissure, hematoma, a body temperature of 39°C, and a limited ability to open her mouth. The patient was medicated and treated surgically. The tooth was removed from the maxillary sinus with caution, as should have been done initially.

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Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

Research Society and Development ◽

10.33448/rsd-v10i2.12353 ◽

2021 ◽

Vol 10 (2) ◽

pp. e26210212353

Author(s):

José Wittor de Macêdo Santos ◽

Emily Ricelly da Silva Oliveira ◽

Humberto Pereira Chaves Neto ◽

Fernanda Soares Ramos ◽

Braz da Fonseca Neto ◽

...

Keyword(s):

Maxillary Sinus ◽

Foreign Bodies ◽

Early Stage ◽

Maxillary Sinusitis ◽

Third Molar ◽

Third Molar Surgery ◽

Surgical Removal ◽

Maxillary Molars ◽

Upper Third ◽

Maxillary Sinuses

During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsening of complications, these events must be addressed in an early stage. This article aims to report the removal of a tooth root from the maxillary sinus, through the modified Caldwell-Luc (CLM) approach and describe the current indications for the Caldwell Luc technique. It reports an upper third molar surgery in which a patient had the distal root of the left superior third molar displaced into the maxillary sinus, later showing signs of sinus opacification and loss of patency of the maxillary ostium obstructed by the root. After antibiotic treatment, the root was recovered through the CLM technique by local anesthesia, without complications. Foreign bodies in the maxillary sinuses must be urgently addressed, avoiding the development of infectious conditions, the CLM approach is the choice approach to manage these complications by a simple and safe way.

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Bimodal intervention in cystic lesions of the maxillary antrum

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20205083 ◽

2020 ◽

Vol 6 (12) ◽

pp. 2320

Author(s):

Manish Munjal ◽

Venus Tilavat ◽

Porshia Rishi ◽

Shubham Munjal ◽

Harjinder Sidhu ◽

...

Keyword(s):

Maxillary Sinus ◽

Maxillary Antrum ◽

Surgical Excision ◽

Cystic Lesions ◽

Middle Meatus ◽

Complete Surgical Excision ◽

Canine Fossa ◽

Close Proximity

<p class="abstract">Intrinsic or extrinsic cysts are common maxillary antral lesions as there is close proximity between the maxillary antrum and maxillary teeth. Main stay of treatment is complete surgical excision. Endoscopic trans nasal middle meatus corridor and the canine fossa approach facilitate 360-degree access, resection and removal of cystic lesions of the maxillary antrum. Bimodal technique to treat maxillary cysts that have expanded into the maxillary sinus is discussed here. </p>

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Ectopic 3rd Molar Tooth in the Maxillary Antrum

Case Reports in Dentistry ◽

10.1155/2014/620741 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Seidu A. Bello ◽

Ifeoluwa O. Oketade ◽

Otasowie D. Osunde

Keyword(s):

Maxillary Antrum ◽

Third Molar ◽

Radiographic Finding ◽

Surgical Excision ◽

Posterior Wall ◽

Molar Tooth ◽

Uneventful Recovery ◽

Maxillary Third Molar ◽

Facial Swelling ◽

Ectopic Tooth

Location of ectopic tooth in a nondentate area like the maxillary antrum is rare. A 17-year-old boy, with one year history of recurrent right facial swelling and radiographic finding of a maxillary third molar tooth located at the posterior wall of the maxillary antrum, is presented. Under endotracheal intubation, the tooth was extracted through a Caldwell-Luc antrostomy approach and patient had an uneventful recovery and has been symptom free for eight months. Ectopic tooth in the maxillary antrum is rare and is commonest with maxillary third molar. It may be symptomless but is more commonly associated with inflammatory symptoms. The treatment of choice is surgical excision which is mostly carried out with Caldwell-Luc approach, even though endoscopic approach is being reported.

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Odontogenic Sinusitis Caused by an Inflammation of a Dentigerous Cyst and Subsequent Finding of a Fibrous Dysplasia. A Case Report

The Open Dentistry Journal ◽

10.2174/1874210601610010647 ◽

2016 ◽

Vol 10 (1) ◽

pp. 647-655 ◽

Cited By ~ 4

Author(s):

Carmen López-Carriches ◽

Inmaculada López-Carriches ◽

Rafael Baca-Perez Bryan

Keyword(s):

Maxillary Sinus ◽

Fibrous Dysplasia ◽

Maxillary Sinusitis ◽

Dentigerous Cyst ◽

Third Molar ◽

Complete Recovery ◽

Diagnostic Methods ◽

Radiographic Examination ◽

Follicular Cyst ◽

Odontogenic Sinusitis

We report the case of a 38-year old male patient with sinusitis caused by an infected follicular cyst due to an ectopic impacted third molar in the right maxillary sinus. A 10-day antibiotherapy regimen was administered; subsequently, the cyst and the third molar were removed achieving complete recovery. Fibrous dysplasia was diagnosed at follow-up examination (occupation of the maxillary sinus by bone tissue was observed in a radiographic examination) and confirmed by biopsy. In cases of odontogenic sinusitis, thorough examination is crucial, as evidenced by the case reported in this study. A Literature review was performed in order to identify the diagnostic methods currently available and the clinical features, complications and treatment for both, odontogenic maxillary sinusitis and fibrous dysplasia.

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Changes in the Maxillary Sinus Volume and the Surgical Outcome after the Canine Fossa Puncture Approach in Pediatric Patients with an Antrochoanal Polyp: Results of a Minimum 3-Year Follow-Up

American Journal of Rhinology and Allergy ◽

10.2500/ajra.2009.23.3353 ◽

2009 ◽

Vol 23 (5) ◽

pp. 531-534 ◽

Cited By ~ 6

Author(s):

Jae Yong Lee ◽

Byoung Joon Baek ◽

Dong Wook Kim ◽

Jang Yul Byun ◽

Seung Won Lee ◽

...

Keyword(s):

Maxillary Sinus ◽

Surgical Outcome ◽

Pediatric Patients ◽

Maxillary Antrum ◽

Antrochoanal Polyp ◽

Long Term Effects ◽

Recurrence Rates ◽

Maxillary Sinus Volume ◽

Canine Fossa

Background An antrochoanal polyp (ACP) originates from the maxillary antrum and simple excision results in high recurrence rates. Canine fossa puncture (CFP) has been proposed as an alternative method of accessing the entire maxillary antrum. To investigate the long-term effects of the CFP approach on changes in the maxillary sinus volume in pediatric patients with an ACP, we compared the sinus volume on the operated and normal sides, using preoperative computed tomography (CT), and postoperative CT performed at least 3 years after the procedure. The surgical outcomes were also assessed using endoscopic and CT findings. Methods Seven patients met the inclusion criteria and the ACP was removed via the CFP approach. After a mean follow-up period of 43.9 months, we compared the changes in the maxillary sinus volume between the operated and normal sides, using the pre- and postoperative CT data. Results No contractures or decrease in the maxillary sinus volume on the diseased side were observed in any of the patients on postoperative CT, and the average volume of both maxillary sinuses was greater on postoperative CT compared with the preoperative scans. None of the patients showed evidence of recurrence on the endoscopic and CT examinations. Conclusion CFP did not affect the maxillary sinus volume in pediatric patients with an ACP and led to a successful surgical outcome in all of the patients. Based on these results, we recommend CFP as a safe, effective method for the treatment of ACP.

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