Surgical ciliated cyst of the maxilla after maxillary sinus surgery: a case report

Oral Surgery ◽  
2013 ◽  
pp. n/a-n/a
Author(s):  
K.S. Fernandes ◽  
M.H.C. Gallottini ◽  
V.B. Felix ◽  
P.S.S. Santos ◽  
F.D. Nunes
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Sinus Surgery ◽  
Ciliated Cyst

scholarly journals Cisto maxilar pós-operatório: relato de caso

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Mateus Diego Pavelski ◽  
Maicon Douglas Pavelski ◽  
Natasha Magro Ernica ◽  
Ricardo Augusto Conci ◽  
Eleonor Álvaro Garbin Junior ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Orthognathic Surgery ◽  
Rio De Janeiro ◽  
Late Complication ◽  
Sinus Surgery ◽  
Le Fort ◽  
Maxillary Cyst ◽  
Le Fort I ◽  
Ciliated Cyst

Introdução: ­­Cisto cirúrgico ciliado ou cisto maxilar pós-operatório é uma lesão que ocorre próximo ao ápice dos dentes, porém é originária do epitélio do seio maxilar. É definido como um sequestro da membrana do seio que fica aprisionado e se prolifera, gerando uma cavidade cística verdadeira. Tem aspecto radiográfico semelhante ao cisto radicular, sendo unilocular de centro radiolúcido e bordas radiopacas bem delimitadas. O tratamento é a remoção do epitélio, sendo recomendada a enucleação cirúrgica do cisto. Raramente é relatado recorrências da lesão. Objetivo: relatar um caso clínico e a conduta adotada para resolução do caso de cisto maxilar pós-operatório. Relato de Caso: A paciente de gênero feminino, 59 anos, leucoderma, edentada total, procurou a clínica de odontologia da Universidade Estadual do Oeste do Paraná para confecção de novas próteses totais superiores e inferiores. No exame radiográfico panorâmico, constatou-se uma lesão unilocular em maxila direita. Clinicamente não apresentava nenhuma alteração e nenhuma sintomatologia. Foi realizada a punção da lesão, sob anestesia local, que revelou conteúdo seroso. Em seguida, a lesão foi enucleada. Não houve comunicação com o seio maxilar. A paciente permaneceu em acompanhamento clínico e radiográfico por 3 anos apresentando reparação total da loja sem sinais de recidiva. Conclusão: O acompanhamento à longo prazo é essencial em casos de lesões intraósseas. Mesmo pacientes edêntulos necessitam de exames de imagens para avaliação inicial, descartando alterações intraósseas.Descritores: Cirurgia Bucal; Cistos Ósseos; Seio Maxilar.ReferênciasLi CC, Feinerman DM, MacCarthy KD, Woo SB. Rare mandibular surgical ciliated cysts: report of two new cases. J Oral Maxillofac Surg. 2014;72(9):1736-43.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 3. ed. Rio de Janeiro: Elsevier; 2009.Shafer WG, Hine MK, Levy BM, Tomich CE. Tratado de Patologia Bucal. 4. ed. Rio de Janeiro: Interamericana; 1985.Yoshikawa Y, Nakajima T, Kaneshiro S, Sakaguchi M. Effective treatment of the postoperative maxillary cyst by marsupialization. J Oral Maxillofac Surg. 1982;40(8):487-91.Thio D, De S, Phelps PD, Bath AP. Maxillary sinus mucocele presenting as a late complication of a maxillary advancement procedure. J Laryngol Otol. 2003;117(5):402-3.Leung YY, Wong WY, Cheung LK. Surgical ciliated cysts may mimic radicular cysts or residual cysts of maxilla: report of 3 cases. J Oral Maxillofac Surg. 2012;70(4):e264-69.Kim J, Nam IC, Yun SH, Cho JH. A huge midline premaxillary cyst as a late complication of maxillary surgery. J Craniofac Surg. 2011;22(5):1903-5.Fernandes KS, Gallottini MHC, Felix VB, Santos PSS, Nunes FD. Surgical ciliated cyst of the maxilla after maxillary sinus surgery: a case report. Oral Sur. 2013;6(4):229-33.Kaneshiro S, Nakajima T, Yoshikawa Y, Iwasaki H, Tokiwa N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg. 1981;39(3):191-98.Cano J, Campo J, Alobera MA, Baca R. Surgical ciliated cyst of the maxilla. Clinical case. Med Oral Patol Oral Cir Bucal. 2009;14(7):e361-64.Moe JS, Magliocca KR, Steed MB. Early maxillary surgical ciliated cyst after Le Fort I untreated for 20 years. Oral Surg. 2013;6(4):224-28.Basu MK, Rout PGJ, Rippin JW, Smith AJ. The post-operative maxillary cyst: Experience with 23 cases. Int J Oral Maxillofac Surg. 1988; 17(5):282-84.Yamamoto H, Takagi M. Clinicopathologic study of the postoperative maxillary cyst. Oral Surg Oral Med Oral Pathol. 1986;62(5):544-48.Heo MS, Song MY, Lee SS, Choi SC, Park TW. A comparative study of the radiological diagnosis of postoperative maxillary cyst. Dentomaxillofacial Radiol. 2000;29(6):347-51.Marano R, Santos SE, Sawazaki R, de Moraes M. Um raro caso de cisto cirúrgico ciliado após 5 anos de extração dentária. Rev Port Estomatol Med Dent Cir Maxilofac. 2012;53:246-51.Amin M, Witherow H, Lee R, Blenkinsopp P. Surgical ciliated cyst after maxillary orthognathic surgery: report of a case. J Oral Maxillofac Surg. 2003;61(1):138-41.Shik CK. The post-operative maxillary cyst: report of 14 cases. Taehan Chikkwa Uisa Hyophoe Chi. 1989;27(11):1049-57.Sugar AW, Walker DM, Bounds GA. Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies. Br J Oral Maxillofac Surg. 1990;28(4):264-67.Hayhurst DL, Moenning JE, Summerlin DJ, Bussard DA. Surgical ciliated cyst: a delayed complication in a case of maxillary orthognathic surgery. J Oral Maxillofac Surg. 1993;51(6):705-8.Lockhart R, Ceccaldi J, Bertrand JC. Postoperative maxillary cyst following sinus bone graft: report of a case. Int J Oral Maxillofac Implants. 2000;15(4):583-86.Shakib K, McCarthy E, Walker DM, Newman L. Post operative maxillary cyst: report of an unusual presentation. Br J Oral Maxillofac Surg. 2009;47(5):419-21.Bourgeois SL Jr, Nelson BL. Surgical ciliated cyst of the mandible secondary to simultaneous Le Fort I osteotomy and genioplasty: report of case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(1):36-9.An J, Zhang Y. Surgical ciliated cyst of the medial canthal region after the management of a midfacial fracture: a case report. J Craniofac Surg. 2014;25(2):701-2.Samuels HS. Marsupialization: Effective management of large maxillary cysts: report of a case. Oral Surg Oral Med Oral Pathol. 1965;20(5):676-83.Pe MB, Sano K, Kitamura A, Inokuchi T. Computed tomography in the evaluation of postoperative maxillary cysts. J Oral Maxillofac Surg. 1990;48(7):679-84.Lee KC, Lee NH. Comparison of clinical characteristics between primary and secondary paranasal mucoceles. Yonsei Med J. 2010;51(5):735-39.

scholarly journals Endoscopic sinus surgery for the treatment of giant organized hematoma of the maxillary sinus; A case report

2012 ◽  
Vol 21 (3) ◽  
pp. 223-227
Author(s):  
Mikiya Asako ◽  
Manabu Ogura ◽  
Kouhei Kawamoto ◽  
Hisashi Ooka ◽  
Satoko Hamada ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

Inflammatory myofibroblastic tumor in the maxillary sinus with asymptomatic course excised during endoscopic surgery - a case report and review of the literature

2019 ◽  
Vol 8 (3) ◽  
pp. 1-5
Author(s):  
Krzysztof Poślednik ◽  
Igor Anurin ◽  
Ireneusz Kantor
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Endoscopic Surgery ◽  
Rare Case ◽  
Inflammatory Myofibroblastic Tumor ◽  
Malignant Tumors ◽  
Rare Condition ◽  
Sinus Surgery ◽  
Review Of The Literature ◽  
Face Pain

Inflammatory myofibroblastic tumor (IMT) is a rare condition that can mimic potentially more dangerous states such as malignant tumors. The tumor itself can also show a local malignancy as well as malignant transformation. The paranasal sinus IMT is quite a rare case in the literature. The manifestation of the disease can include a face swelling, nasal obstruction, epistaxis, vision acuity worsening, numbness of face, pain. Etiology of this type of lesion still remains uncertain but there are a few assumptions on the issue: viral and genetic among the others, as well as posttraumatic and postinflammatory. We report the case of an adult woman with IMT detected in right maxillary sinus after endoscopic sinus surgery.

scholarly journals Signal void and pseudo-pneumatized sinus in fungal rhinosinusitis – Case report

2017 ◽  
Vol 7 (28) ◽  
pp. 251-255
Author(s):  
Alexis Vuzitas ◽  
Marian Petrica ◽  
Claudiu Manea
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Diagnostic Errors ◽  
Nasal Fossa ◽  
Sinus Surgery ◽  
Fungal Rhinosinusitis ◽  
Hyperintense Signal ◽  
Signal Void ◽  
Frontal Sinuses ◽  
The Right

Abstract BACKGROUND. Signal void, or the absence of signal on MRI sequences, in the sinonasal region may be encountered in fungal rhinosinusitis cases with the aspect of a pseudo-pneumatized sinus, leading to diagnostic errors. CASE REPORT. We present the case of a 75-year-old woman referred to our clinic for complete and persistent right-sided nasal obstruction. The patient was evaluated using sinus CT and contrast-enhanced head MRI. Opacification of the right maxillary, ethmoid and frontal sinuses as well as of the right nasal fossa were seen on CT, with maxillary sinus expansion and osseous erosion. The MRI showed T2 signal void in the maxillary sinus with extension to the nasal fossa, creating the appearance of a pseudo-pneumatized sinus, and hyperintense signal in the ipsilateral anterior ethmoid and frontal sinuses. The patient underwent endoscopic sinus surgery. The dual imaging evaluation of the patient aided the preoperative differential diagnosis and choosing the surgical approach.

scholarly journals Extramedullary Hematopoiesis in the Sinonasal Cavity: A Case Report and Review of the Literature

2020 ◽  
Vol 11 ◽  
pp. 215265672091887
Author(s):  
Carly A. Clark ◽  
Cameron P. Worden ◽  
Brian D. Thorp ◽  
Charles S. Ebert ◽  
Adam M. Zanation ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Extramedullary Hematopoiesis ◽  
Endoscopic Biopsy ◽  
Sinus Surgery ◽  
Common Finding ◽  
Beta Thalassemia ◽  
Fungal Sinusitis ◽  
Hematopoietic Tissue ◽  
Allergic Fungal Sinusitis

Background Extramedullary hematopoiesis (EMH) occurs in patients with hematologic disorders, but rarely within the paranasal sinuses. We report a case of EMH in a 17-year-old male with sickle cell disease (SCD) who presented with occipital pain and sinusitis. A computed tomography (CT) scan demonstrated heterogeneous opacification of the right maxillary sinus concerning for allergic fungal sinusitis or a fungal ball with bony erosion. He was taken to the operating room for endoscopic biopsy and a limited endoscopic sinus surgery. Grossly, his maxillary sinus was filled with spiculated osseous tissue. Final pathology demonstrated active hematopoietic bone marrow filling the sinus. Methods We present a case report and literature review of sinonasal EMH. Results We identified 14 articles with 15 patients. EMH was typically associated with SCD or beta thalassemia. The average age of presentation was 30. There was a male sex predilection with a ratio of 11:15. The most common presenting symptom was a headache and nasal obstruction (33% for both). The most common finding on CT was a soft tissue expansile mass (73%). The most commonly affected location was the maxillary sinus (60%). Conclusions This case report serves as a reminder to consider EMH as an uncommon cause of sinus opacification, particularly in patients with SCD or beta thalassemia. The expansion of hematopoietic tissue may be identified as a sinus mass on CT. By recognizing the potential manifestations of chronic anemia, an accurate and timely diagnosis can be made.

scholarly journals Maxillary Antrolith: A Rare Cause of the Recurrent Sinusitis

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Vijendra Shenoy ◽  
Vinod Maller ◽  
Vijetha Maller
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Maxillary Sinus ◽  
Maxillary Antrum ◽  
Rare Condition ◽  
Sinus Surgery ◽  
Benign Neoplasms ◽  
Osteomeatal Complex ◽  
The Face ◽  
Left Maxillary Sinus

Introduction. An antrolith is a calcified mass within the maxillary sinus. The origin of the nidus of calcification may be extrinsic (foreign body in sinus) or intrinsic (stagnant mucus and fungal ball). Most antroliths are small and asymptomatic. Larger ones may present as sinusitis with symptoms like pain and discharge.Case Report. We report a case of a 47-year-old lady who presented with heaviness on the left side of the face and loosening of the left 2nd molar tooth since two months. CT scan of the osteomeatal complex and paranasal sinuses showed an opacification of bilateral maxillary sinus and an amorphous area of bone density in the left maxillary sinus. Because of the size of the mass, benign neoplasms were considered in the differential diagnosis. During an endoscopic sinus surgery, it was found to be an antrolith, which was successfully managed by antrostomy and Caldwell-Luc Surgery.Discussion. Antrolith is a rare condition. Rhinoliths are known to invade into the maxillary antrum, but a localised lesion in the antrum is very unusual. A case of an isolated antrolith is presented for its rarity and for differential diagnosis of localised antral disease.Conclusion. Antrolith should be considered as differential diagnosis of unilateral radio-opaque paranasal sinus lesions.

scholarly journals Maxillary sinus surgery for implant placement: a clinical case report

2020 ◽  
Vol 9 (2) ◽  
pp. 43
Author(s):  
Catarina Borges da Fonseca Cumerlato ◽  
Fernanda Angeloni de Souza ◽  
Rodrigo Nunes Rotta ◽  
Matheus Coelho Blois
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Clinical Case ◽  
Sinus Surgery ◽  
Implant Placement

Objetivos: O objetivo deste relato de caso foi descrever a técnica de elevação atraumática de seio maxilar junto da instalação de implante imediato em região posterior de maxila, visando o restabelecimento funcional e estético da paciente. Métodos: A cirurgia envolveu o uso de osteótomos de Summers para o restabelecimento da quantidade óssea e preparo do local onde o implante foi inserido. Resultados: Observou-se a osseointegração do implante instalado e a reabilitação do elemento perdido, restabelecendo função, estética e impactando na qualidade de vida da paciente. Conclusões: O tratamento demonstrou ser uma excelente alternativa para resolução de casos com pouca altura óssea, sendo um procedimento previsível e menos invasivo que a técnica traumática de levantamento de seio. 

scholarly journals Balloon -catheter usage in maxillary sinus surgery: Case report

2006 ◽  
Vol 53 (1) ◽  
pp. 65-70
Author(s):  
Bozidar Brkovic ◽  
Milan Radulovic
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Risk Group ◽  
Postoperative Bleeding ◽  
Balloon Catheter ◽  
Sinus Surgery ◽  
Sinus Cavity ◽  
Temporary Opening ◽  
Postoperative Drainage

Introduction: The postoperative drainage and the postoperative bleeding from maxillary sinus cavity have been controlled after functional sinus surgery. It has usually been done using the band of iodize gauze squeezed through the temporary opening in the vestibular mucosa or through the inferior meatal antrostomy. The aim of this study was to present the use of balloon-catheter in maxillary sinus surgery intendend for control of postoperative drainage and bleeding. Case report: Balloon-catheter was used in one female who was treated for anemia after chemotherapy and with allergy to iodine. It was inserted into the sinus cavity through the temporary inferior meatal antrostomy and removed five days after surgery without any postoperative discomforts and complications especially in this risk group of patients. Conclusion: The balloon-catheter surgery method used in risk group of patients improved the quality of postoperative period without significant complications.

Ciliated cyst of the maxilla following trauma: An unusual case report

2014 ◽  
Vol 1 ◽  
pp. 1-3 ◽  
Author(s):  
Harsha Vardhan Gowthamnath ◽  
J.S. Jesija ◽  
K. Saraswathi Gopal
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Unusual Case Report ◽  
Ciliated Cyst
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