Giant Mucocoele of the Maxillary Antrum: A Case Report

Abstract

Maxillary antral mucocoeles have an incidence of only 3-10%. Mucocoeles are more commonly seen in the frontoethmoidal region. We present one such rare case of a 52-year-old lady who came to us with complaints of pain and swelling of the left cheek of 4 months duration. Clinical examination and investigation revealed a giant maxillary sinus mucocoele which was duly treated surgically. We discuss its classical presentation and management since such large mucocoeles are not often seen in the maxillary sinus.

Decision Tree to Minimize Intraoperative Complications during Maxillary Sinus Augmentation Procedures

“…Mucoceles are due to obstruction of the sinus ostium and drainage pattern leading to accumulation of mucus within the sinus cavity. Continual accumulation and expansion can lead to erosion of sinus wall [29]. Differential diagnosis for expansion and bone destruction includes malignant conditions and must be ruled out prior to sinus graft.…”

“…Differential diagnosis for expansion and bone destruction includes malignant conditions and must be ruled out prior to sinus graft. On the other hand, an opaque maxillary sinus without bone erosion invites the diagnosis of sinusitis, retention cysts, and antrochoanal polyps [29]. Mucous retention cysts are not uncommon [27].…”

Clinical and Radiological Assessment and Planning in Sinus Floor Elevation

“…Continual accumulation causes it to expand from the pressure. Sinus walls may be remodeled or completely de-ossifi ed and eroded (Sreedharan et al 2011 ). The appearance of mucoceles is well described.…”

“…With expansion and bone destruction, the differential diagnosis include malignant conditions like adenoid cystic carcinoma, plasmacytoma, rhabdomyosarcoma, lymphoma, schwannoma, and tumors of dental origin (Sreedharan et al 2011 ).…”

Evaluation and treatment of isolated maxillary sinus disease

“…Signs and symptoms reflect the size of the lesion, and in the maxillary sinus can present with diplopia due to elevation of the orbital floor [19], or with facial swelling or dental problems [20]. Signs and symptoms reflect the size of the lesion, and in the maxillary sinus can present with diplopia due to elevation of the orbital floor [19], or with facial swelling or dental problems [20].…”