Clinicopathologic study of the postoperative maxillary cyst

Sixty cases of the postoperative maxillary cyst were studied clinicopathologically. The cysts accounted for 19.5% of all oral cystic lesions. Most of the patients were in their 20s and 30s at the time of diagnosis, and the postoperative duration was between 10 and 49 years. Radiographically, most cases revealed a unilocular cystic lesion. In two thirds of the cases, the lesion occupied more than half the volume of the maxillary sinus while the remaining one third of the cases revealed more limited lesions of the sinus. Histopathologically, cuboidal, squamous, and mixed epithelial cyst linings were observed, although the basic epithelial lining was the ciliated columnar type. Epithelial dysplasia was found in two cases. The cysts near the nasal cavity may originate from regenerated nasal mucosa, and the cysts that are located at a distance from the nasal cavity may be lined with epithelium derived from residual mucosa of the sinus entrapped during surgery to relieve sinusitis.     

Dentigerous cyst involving maxillary sinus: report of case

The dentigerous cyst is generally discovered during routine radiographic examination although it may be found because of secondary infection. Although the patient described in this report had symptoms of infection, discovery of the lesion was late in the course of development of the cyst as it grew to a large size within the antral cavity without causing external expansion. The panoramic radiograph is an excellent method to screen for central jaw disease but may not allow adequate assessment of processes involving the maxillary sinuses. As illustrated by this report, when the absence of a third molar is not explained by the patient's history or by the panoramic radiograph, additional radiographs are essential to specifically visualize the sinuses and upper middle part of the face for accurate diagnosis.     

The post-operative maxillary cyst. Experience with 23 cases

23 cases, diagnosed as post-operative maxillary cyst, from outside Japan are described. Clinical, radiographic and histopathological features are not dissimilar to those cases reported from Japan, and various parameters have been found to be helpful in diagnosis. This lesion is more common outside Japan than previously suggested, and this is probably largely due to faulty diagnosis.     

Effective treatment of the postoperative maxillary cyst by marsupialization

The postoperative maxillary cyst occurs as a delayed complication after radical surgical intervention in the maxillary sinus. The recommended procedures for treating this entity have been enucleation followed by formation of an antronasal window, primary closure, or open packing. To prevent recurrence and unnecessary tissue destruction from surgery, marsupialization was performed in eight unilocular postoperative maxillary cysts. With the exception of a case in which the long-term results could not be obtained, the cysts disappeared in four months to two and a half years. Possible indications for marsupialization of the postoperative maxillary cyst are discussed.     

Primary hydatid cyst of the maxillary sinus: case report

Hydatid disease (also known as hydatidosis) is a cyclozoonotic infection caused by the cestode genus Echinococcus. It occurs throughout the world and is especially common in sheep- and cattle-raising regions of Africa, Australia, New Zealand, India, the Middle East, South America, and the Mediterranean. The incidence of humans infected with hydatid disease is approximately 1.0-2.0:1,000, although it may be higher in rural areas of regions that are affected. Infection occurs via ingestion of infected meat. Primary infection of the maxillary antrum is odd and very rare. This article reviews a case report involving this rare condition.     

Post operative maxillary cyst: report of an unusual presentation

A postoperative maxillary cyst is a rare, delayed complication of operations on the maxillary sinus, trauma. or infection, particularly in Japan. As far as we know this is the first reported case in a patient of African origin. The cyst presented as a midline palatal swelling that arose from the nasal, rather than the antral, mucosa. Awareness of this condition will expedite its correct diagnosis and management. In most cases, enuclcation is the treatment of choice.     

Paradental cyst: report of two cases

BACKGROUND: The paradental cyst is an odontogenic lesion of inflammatory origin that has few clinical signs and symptoms apart from recurring acute episodes. A well-defined radiolucency associated with the roots or distal to the crown may be seen radiographically. The purpose of this article is to report on different aspects of two cases involving paradental cysts. In the first case, the patient complained about recurring pericoronitis. A semilunar-shaped radiolucency on the distal aspect of the mandibular third molar was noted on the periapical radiograph. In the second case, the patient's main complaint was chronic trauma of the overlying mucosa. Radiographs revealed an enlarged pericoronal space. METHODS: In both cases, the mandibular third molar was extracted due to a lack of space. Lesional samples were sent for histopathologic analysis. RESULTS: In the first case, the drainage of cystic fluid and a regular concavity were found during tooth removal. In the second case, a nodular lesion was found adhering to the disto-buccal surface of the tooth arising from the distal wall of a periodontal pocket. The histopathologic analysis revealed a hyperplastic stratified squamous epithelium with arcading lining a fibrous capsule with inflammatory infiltrate, resulting in a final diagnosis of a paradental cyst. CONCLUSIONS: The presence of a paradental cyst should be considered when recurrent inflammatory periodontal processes are associated with partially erupted vital teeth, even when characteristic radiographic findings are absent. Definitive diagnosis requires a clinicopathologic correlation incorporating surgical, radiographic, and histologic findings.     

An analysis of the postoperative maxillary cyst using computed tomography

The diagnostic value of computed tomography (CT) as compared with conventional radiographs in the study of postoperative maxillary cysts (POMC) in 64 patients (85 sides) was evaluated. Typical CT findings of POMC were of a unilocular or multilocular homogeneous soft tissue density mass with expansile bony resorption. A comparison between conventional radiographs and CT proved that CT could determine the location and multilocularity of the cyst, the status of the antral walls, and abnormalities of the other paranasal sinuses and adjacent structures more precisely than conventional radiographs. CT also facilitated the ability to predict the direction of extension of the lesion. In conclusion CT was indispensable for accurately diagnosing POMC. In some cases the inferior extension of the lesion should be examined by conventional radiography because this can be obscured by degradation caused by metal artefacts during CT.     

The analysis of fluid aspirate glycosaminoglycans in diagnosis of the postoperative maxillary cyst (surgical ciliated cyst)

A characteristic electrophoretic pattern of glycosaminoglycans from fluid aspirates of the postoperative maxillary cyst has been observed. This pattern, in which hyaluronic acid and heparan sulfate are the predominant glycosaminoglycans (with lesser amounts of chondroitin-4-sulfate) may faciliate preoperative diagnosis of this lesion.     

Post-operative maxillary cyst associated with a maxillary sinus elevation procedure: a case report.

Proper diagnosis, treatment planning, and surgical manipulation of the posterior maxilla require a thorough knowledge of the anatomy, physiology, and pathology associated with the maxillary sinus. This case report of a post-operative maxillary cyst diagnosed following routine post-operative examination of a sinus elevation procedure illustrates the need for a meticulous surgical technique, proper management of complications, and routine, long-term follow-up. With the increased utilization of sinus elevation techniques, reports of this destructive lesion may become more common.