Destructive Giant Maxillary Sinus Mucocele: A Case Report

Mutlu, Vahit; Yörük, Özgür; Özkan, Özalkan

doi:10.5455/medscience.2015.04.8314

Cited by 3 publications

(10 citation statements)

References 7 publications

(18 reference statements)

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“…Maxillary sinus mucocele is exceptional with an incidence of 3% to 10% worldwide . Mucocele circumvents the wall of the maxillary sinus and has an aggressive, destructive character . They communicate with the adjacent structure through the sinus wall.…”

Section: Discussionmentioning

confidence: 97%

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Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up

Medikeri

Ankit

2019

Clin Adv Periodontics

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Introduction The maxillary mucocele is a slow‐growing aggressive lesion and a mucous‐containing sac lined with epithelium that occurs due to ductal obstruction and self‐limiting injury. Rarely, it may be associated with non‐specific symptoms. It is characterized by bone resorption due to its expanding behavior. Reduced height of bone and sinus pneumatization associated with pathologic lesions located in the floor of maxillary sinus may impede sinus augmentation. Therefore, careful diagnosis and management of pathology before sinus floor elevation is important in determining its recurrence and prognosis. Case Presentation We reported a case with small mucocele on right pneumatized antrum with insufficient residual bone height for implant placement. Radiograph in the region of teeth #3 and #4 revealed a homogeneous solitary radiopaque mass. Cone‐beam computed tomography revealed irregular osteolysis of the lateral wall of the sinus. It was excised through Caldwell‐Luc technique and simultaneous sinus augmentation was performed. Later, delayed implant restoration was performed. No complication or recurrence was reported during 36 months of follow‐up. Conclusions The excision of mucocele on sinus floor and simultaneous sinus augmentation obviates the need for the extended treatment period. The clinician must be habituated with the anatomy and pathology of the maxillary sinus to evade any non‐essential complications following lateral sinus floor augmentation procedure. A diminutive mucocele should not be regarded as a contraindication for sinus augmentation; sometimes it manifests with bone erosion. The prompt diagnosis and careful evaluation are needed to avoid future complications during implant therapy.

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Section: Discussionmentioning

confidence: 97%

“…22 Mucocele circumvents the wall of the maxillary sinus and has an aggressive, destructive character. 23,24 They communicate with the adjacent structure through the sinus wall. The mucocele should be differentiated from other lesions.…”

Section: Discussionmentioning

confidence: 99%

Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up

Medikeri

Ankit

2019

Clin Adv Periodontics

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show abstract

Section: Discussionmentioning

confidence: 99%

“…Sinus mucoceles primarily occur within the frontal and anterior sinuses, while maxillary sinus mucoceles are relatively rare and occur in 2.7%-10% of all mucoceles [7]. In particular, cysts large enough to cause bone destruction are very rare in patients with no history of sinus surgery [6,7]. Although mucoceles are benign, they require treatment and must be distinguished from malignant tumors because of their potential to cause bon destruction to the surrounding sinus walls and structures.…”

Section: Discussionmentioning

confidence: 99%

“…On computed tomography, mucoceles without infection demonstrate uniform soft tissue shading that is not enhanced by contrast medium, has a smooth border, and does not show infiltration of surrounding soft tissue. Conversely, malignant tumors are irregular in shape and bony erosion or destruction of the sinuses proceeds after infiltration of the surrounding soft tissues [7,8].…”

Section: Discussionmentioning

confidence: 99%

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A Giant Maxillary Mucocele Presenting Left Cheek Swelling

2022

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A paranasal sinus mucocele is an epithelial-lined, mucus-containing sac that completely fills the sinus and forms an expandable cystic structure. It most commonly affects the frontal and ethmoidal sinuses, and rarely the maxillary and sphenoid sinuses. Orbital displacement or external disfigurement resulting from the expansion of the frontal or ethmoid sinuses is common; however, facial asymmetry caused by maxillary bone remodeling is rare. We describe a case of large maxillary sinus mucocele that destroyed the maxillary sinus bony wall, resulting in notable left cheek swelling and disfigurement, and review the relevant literature.

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Maxillary sinus mucocele in a 20-year-old male: a case report of a rare occurrence

Pavithra¹,

Gupta²,

Hamid³

et al. 2023

Iberoam J Med

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Mucocele of Maxillary sinus is a rare entity comprising 2-10% of all mucoceles and develops due to obstruction of drainage ostium. Here, we present a case of maxillary sinus mucocele in a 20-year-old male who presented with diffuse swelling on the left side of his face. Provisional diagnosis of mucocele was made on a computed tomography scan, which was later confirmed on histopathology. The lesion was managed surgically with uneventful healing at 2 weeks and 3 months follow-up. Mucoceles are often misdiagnosed as cysts or tumours of odontogenic origin on the conventional radiograph. Delay in diagnosis can result in complications due to the expansion of mucocele towards adjacent structures such as the nose and orbit. Therefore, it becomes crucial to diagnose it appropriately with the help of higher imaging modalities so that it can be managed well in time.

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Destructive Giant Maxillary Sinus Mucocele: A Case Report

Abstract: Mucoceles

Cited by 3 publications

References 7 publications

Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up

Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up

A Giant Maxillary Mucocele Presenting Left Cheek Swelling

Maxillary sinus mucocele in a 20-year-old male: a case report of a rare occurrence

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