Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Sinus lifts in the presence of pseudoantral and mucous retention cysts

  • Choi, Moon Gi (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Hong, Chang Hyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Choi, Eun Joo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Park, Won Jong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Kim, Young Geun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Gil, Do Geon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • Received : 2021.11.14
  • Accepted : 2022.03.23
  • Published : 2022.04.30
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Abstract

Objectives: Mucous retention cysts and pseudoantral cysts are mainly located within the floor of the maxillary sinus. Most of these maxillary cysts are asymptomatic and often only require observation. However, the presence of these benign maxillary cysts may create problems when maxillary sinus all types of implants are needed. Various treatment methods have been introduced. The selected treatment option depends on the type, size, and location of the cyst and its symptoms. Patients and Methods: The case reports of four patients with maxillary cysts were reviewed retrospectively. These patients received a sinus lift between January 2016 and October 2021 at the Wonkwang University Dental Hospital. Results: To reduce unnecessary operations and the duration of treatment, a conservative treatment method is required. A sinus lift in the presence of maxillary cyst will not typically cause sinus problems if the lifted sinus membrane does not interfere with ventilation of the maxillary sinus. Conclusion: When proper treatment is provided, sinus perforation during a sinus lift performed in the presence of maxillary cyst and contamination of bone graft materials by cystic fluid does not necessarily result in adverse outcomes.

Keywords

Acknowledgement

This paper was supported by Wonkwang University in 2020.

References

  1. Mardinger O, Manor I, Mijiritsky E, Hirshberg A. Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:180-4. https://doi.org/10.1016/j.tripleo.2006.03.008
  2. Chiapasco M, Palombo D. Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a microinvasive intraoral access. Int J Oral Maxillofac Surg 2015;44:1499-505. https://doi.org/10.1016/j.ijom.2015.07.009
  3. Gardner DG. Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1984;58:561-7. https://doi.org/10.1016/0030-4220(84)90080-x
  4. Timmenga NM, Raghoebar GM, Liem RS, van Weissenbruch R, Manson WL, Vissink A. Effects of maxillary sinus floor elevation surgery on maxillary sinus physiology. Eur J Oral Sci 2003;111:189-97. https://doi.org/10.1034/j.1600-0722.2003.00012.x
  5. Nosaka Y, Nosaka H, Nakajima Y, Tanioka T, Botticelli D, Baba S. A reliable surgical procedure for sinus floor augmentation with antral pseudocysts. Dent J (Basel) 2021;9:122. https://doi.org/10.3390/dj9100122
  6. Delilbasi C, Gurler G, Burgaz I. Sinus lifting in the presence of pseudocyst: case series. OHDM 2014;13:959-62.
  7. Araujo RZ, Gomez RS, Castro WH, Lehman LF. Differential diagnosis of antral pseudocyst, surgical ciliated cyst, and mucocele of the maxillary sinus. Ann Oral Maxillofac Surg 2014;2:10.
  8. Anitua E, Alkhraisat MH, Torre A, Eguia A. Are mucous retention cysts and pseudocysts in the maxillary sinus a risk factor for dental implants? A systematic review. Med Oral Patol Oral Cir Bucal 2021;26:e276-83. https://doi.org/10.4317/medoral.24155
  9. Garg AK, Mugnolo GM, Sasken H. Maxillary antral mucocele and its relevance for maxillary sinus augmentation grafting: a case report. Int J Oral Maxillofac Implants 2000;15:287-90.
  10. Gardner DG, Gullane PJ. Mucoceles of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62:538-43. https://doi.org/10.1016/0030-4220(86)90317-8
  11. Shear M, Speight PM. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Wiley-Blackwell; 2007.
  12. Bhattacharyya N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Arch Otolaryngol Head Neck Surg 2000;126:1369-71. https://doi.org/10.1001/archotol.126.11.1369
  13. MacDonald-Jankowski DS. Mucosal antral cysts observed within a London inner-city population. Clin Radiol 1994;49:195-8. https://doi.org/10.1016/s0009-9260(05)81776-3
  14. Jensen OT. The sinus bone graft. Hanover Park (IL): Quintessence Publishing; 1999.
  15. Tang ZH, Wu MJ, Xu WH. Implants placed simultaneously with maxillary sinus floor augmentations in the presence of antral pseudocysts: a case report. Int J Oral Maxillofac Surg 2011;40:998-1001. https://doi.org/10.1016/j.ijom.2011.02.038
  16. Zhang S, Song Y, Wei H, Ren S. Cyst decreased in size post maxillary sinus floor augmentation surgery in diabetic patient: a case report. Int J Surg Case Rep 2015;16:171-3. https://doi.org/10.1016/j.ijscr.2015.10.004
  17. Manor Y, Mardinger O, Bietlitum I, Nashef A, Nissan J, Chaushu G. Late signs and symptoms of maxillary sinusitis after sinus augmentation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:e1-4. https://doi.org/10.1016/j.tripleo.2010.02.038
  18. Kara IM, Kucuk D, Polat S. Experience of maxillary sinus floor augmentation in the presence of antral pseudocysts. J Oral Maxillofac Surg 2010;68:1646-50. https://doi.org/10.1016/j.joms.2009.09.116
  19. Paparella MM. Mucosal cyst of the maxillary sinus. Arch Otolaryngol 1963;77:650-70. https://doi.org/10.1001/archotol.1963.00750010668016
  20. Perfetti G, Rossi F, Massei G, Raffaelli L, Manicone PF, Paolantonio M, et al. Sinus augmentation procedure of the jaw sinus in patients with mucocele. Int J Immunopathol Pharmacol 2008;21:243-6. https://doi.org/10.1177/039463200802100129
  21. Liu D, Shi L, Dai X, Zhou Q, Yang F, Shen M, et al. Implants placed simultaneously with maxillary sinus floor augmentation in the presence of antral pseudocysts: presentation of a case series. Quintessence Int 2018;49:479-85. https://doi.org/10.3290/j.qi.a40248
  22. Beaumont C, Zafiropoulos GG, Rohmann K, Tatakis DN. Prevalence of maxillary sinus disease and abnormalities in patients scheduled for sinus lift procedures. J Periodontol 2005;76:461-7. https://doi.org/10.1902/jop.2005.76.3.461
  23. Lin Y, Hu X, Metzmacher AR, Luo H, Heberer S, Nelson K. Maxillary sinus augmentation following removal of a maxillary sinus pseudocyst after a shortened healing period. J Oral Maxillofac Surg 2010;68:2856-60. https://doi.org/10.1016/j.joms.2010.05.091
  24. Kim SB, Yun PY, Kim YK. Clinical evaluation of sinus bone graft in patients with mucous retention cyst. Maxillofac Plast Reconstr Surg 2016;38:35. https://doi.org/10.1186/s40902-016-0081-1
  25. Oh JH, An X, Jeong SM, Choi BH. Crestal sinus augmentation in the presence of an antral pseudocyst. Implant Dent 2017;26:951-5. https://doi.org/10.1097/ID.0000000000000691
  26. Briguglio F. Maxillary sinus augmentation in the presence of retention cyst: a new clinical approach. Open Access J Surg 2020;12:555839. https://doi.org/10.19080/OAJS.2020.12.555839
  27. Maiorana C, Beretta M, Benigni M, Cicciu M, Stoffella E, Grossi GB. Sinus lift procedure in presence of mucosal cyst: a clinical prospective study. JIACD 2012;4:53-60.
  28. Baykul T, Findik Y. Maxillary sinus perforation with presence of an antral pseudocyst, repaired with platelet rich fibrin. Ann Maxillofac Surg 2014;4:205-7. https://doi.org/10.4103/2231-0746.147144