Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Expansile dentigerous cyst invading the entire maxillary sinus: a case report

  • Cho, Ju-Yeon (Department of Dentistry, Dongsan Medical Center, Keimyung University) ;
  • Nam, Ki-Young (Department of Dentistry, Dongsan Medical Center, Keimyung University)
  • Received : 2012.02.09
  • Accepted : 2012.05.03
  • Published : 2012.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

Reported cases of a large dentigerous cyst involving the whole maxillary sinus are uncommon. A 22-year-old female patient suffering from swelling of the right infraorbital area and cheek with dull pain was referred to our department. Findings on computed tomography (CT) and magnetic resonance imaging (MRI) revealed a huge mass containing a displaced maxillary third molar involving the right maxillary sinus as a whole, with partial erosion of the posterior sinus cortical bone. Under general anesthesia, the mass was enucleated using the Caldwell-Luc approach, and, following histopathological analysis, was diagnosed as a dentigerous cyst. The case was followed for a period of seven years, and no evidence of sinus infection or recurring cyst formation was observed during that time.

Keywords

References

  1. Kim SG, Park CY, Kang TH, Jang HS. Clinicopathologic study on cysts and postoperative cyst in maxillary sinus. J Korean Assoc Maxillofac Plast Reconstr Surg 2000;22:568-76.
  2. Altas E, Karasen RM, Yilmaz AB, Aktan B, Kocer I, Erman Z. A case of a large dentigerous cyst containing a canine tooth in the maxillary antrum leading to epiphora. J Laryngol Otol 1997;111:641-3.
  3. Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J 2005;198:203-6.
  4. Kim KW, Lee JH. Clinical study of cysts in the jaws. J Korean Assoc Maxillofac Plast Reconstr Surg 1999;21:166-73.
  5. Park TW. Clinico-radiological study of cyst of the jaw. Korean J Oral Maxillofac Radiol 1983;13:163-8.
  6. Hong SP, Lee JI, Shin HI, Choi HR, Kim EC, Park HR. Contemporary oral and maxillofacial pathology. Seoul: Jeong Won Publishing Co.; 1999.
  7. Im CY. Color atlas of oral pathology. Seoul: Korea Medical Publishing Co.; 1992.
  8. Albright CR, Hennig GH. Large dentigerous cyst of the maxilla near the maxillary sinus: report of case. J Am Dent Assoc 1971;83:1112-5.
  9. Avitia S, Hamilton JS, Osborne RF. Dentigerous cyst presenting as orbital proptosis. Ear Nose Throat J 2007;86:23-4.
  10. Na CY, Choi KS. A radiographic study of differential diagnosis between dentigerous cysts and unicystic ameloblastomas. Korean J Oral Maxillofac Radiol 1993;23:255-64.
  11. Weber AL. Imaging of cysts and odontogenic tumors of the jaw. Definition and classification. Radiol Clin North Am 1993;31:101-20.
  12. Robinson L, Martinez MG. Unicystic ameloblastoma: a prognostically distinct entity. Cancer 1977;40:2278-85.
  13. Som PM, Dillon WP, Curtin HD, Fullerton GD, Lidov M. Hypointense paranasal sinus foci: differential diagnosis with MR imaging and relation to CT findings. Radiology 1990;176:777-81.
  14. Dagistan S, Cakur B, Goregen M. A dentigerous cyst containing an ectopic canine tooth below the floor of the maxillary sinus: a case report. J Oral Sci 2007;49:249-52.
  15. Chuong R. Dentigerous cyst involving maxillary sinus: report of case. J Am Dent Assoc 1984;109:59-60.
  16. Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofacial Orthop 2003;124:515-20.
  17. Ertas U, Yavuz MS. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxillofac Surg 2003;61:728-30.