Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report

Postoperative maxillary cyst (POMC) is a benign expansive cystic lesion of the maxilla generally related to invasive maxillary surgeries or trauma. POMC can also develop after maxillary sinus augmentation (MSA), but many dentists are not well-aware of such complication of MSA. A 56-year-old male pat...

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Autores principales: Won-Bae Park, Hyun-Chang Lim
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a810790907474cb1ba79d4be83cb51002021-11-25T16:36:48ZLate Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report10.3390/app1122107302076-3417https://doaj.org/article/a810790907474cb1ba79d4be83cb51002021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/22/10730https://doaj.org/toc/2076-3417Postoperative maxillary cyst (POMC) is a benign expansive cystic lesion of the maxilla generally related to invasive maxillary surgeries or trauma. POMC can also develop after maxillary sinus augmentation (MSA), but many dentists are not well-aware of such complication of MSA. A 56-year-old male patient had undergone bilateral MSA. After 18 years, the patient reported painless swelling on the left palate. On the panoramic radiographs, no specific findings were found, but a large unilocular lesion was detected at the medial side of the previous augmentation of the left maxillary sinus on cone-beam computed tomographic examination. The lesion expanded medially and downward to destruct the medial wall of the maxillary sinus and palatal bone. Medial expansion of the lesion also reached the nasal septum and inferior meatus. Due to the extent and the location, the lesion was hard to manage using an intraoral surgical approach. The patient was then referred to an otolaryngologist in a university hospital. Endoscopic marsupialization was performed under general anesthesia. Previous augmentation and dental implants could be maintained during the marsupialization. The removed tissue sample revealed respiratory epithelium with inflammatory cell infiltration, confirming that the lesion was a postoperative maxillary cyst (POMC). There has been no recurrence of POMC to date. POMC is a rare postoperative complication of maxillary sinus augmentation, but clinicians should be aware of the possibility of POMC and the necessity of regular radiological monitoring.Won-Bae ParkHyun-Chang LimMDPI AGarticlecomplicationendoscopic marsupializationmaxillary sinus augmentationpostoperative maxillary cystTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10730, p 10730 (2021)
institution DOAJ
collection DOAJ
language EN
topic complication
endoscopic marsupialization
maxillary sinus augmentation
postoperative maxillary cyst
Technology
T
Engineering (General). Civil engineering (General)
TA1-2040
Biology (General)
QH301-705.5
Physics
QC1-999
Chemistry
QD1-999
spellingShingle complication
endoscopic marsupialization
maxillary sinus augmentation
postoperative maxillary cyst
Technology
T
Engineering (General). Civil engineering (General)
TA1-2040
Biology (General)
QH301-705.5
Physics
QC1-999
Chemistry
QD1-999
Won-Bae Park
Hyun-Chang Lim
Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
description Postoperative maxillary cyst (POMC) is a benign expansive cystic lesion of the maxilla generally related to invasive maxillary surgeries or trauma. POMC can also develop after maxillary sinus augmentation (MSA), but many dentists are not well-aware of such complication of MSA. A 56-year-old male patient had undergone bilateral MSA. After 18 years, the patient reported painless swelling on the left palate. On the panoramic radiographs, no specific findings were found, but a large unilocular lesion was detected at the medial side of the previous augmentation of the left maxillary sinus on cone-beam computed tomographic examination. The lesion expanded medially and downward to destruct the medial wall of the maxillary sinus and palatal bone. Medial expansion of the lesion also reached the nasal septum and inferior meatus. Due to the extent and the location, the lesion was hard to manage using an intraoral surgical approach. The patient was then referred to an otolaryngologist in a university hospital. Endoscopic marsupialization was performed under general anesthesia. Previous augmentation and dental implants could be maintained during the marsupialization. The removed tissue sample revealed respiratory epithelium with inflammatory cell infiltration, confirming that the lesion was a postoperative maxillary cyst (POMC). There has been no recurrence of POMC to date. POMC is a rare postoperative complication of maxillary sinus augmentation, but clinicians should be aware of the possibility of POMC and the necessity of regular radiological monitoring.
format article
author Won-Bae Park
Hyun-Chang Lim
author_facet Won-Bae Park
Hyun-Chang Lim
author_sort Won-Bae Park
title Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
title_short Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
title_full Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
title_fullStr Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
title_full_unstemmed Late Developed Unusual Nasal Involvement of Postoperative Maxillary Cyst Following Maxillary Sinus Augmentation: A Case Report
title_sort late developed unusual nasal involvement of postoperative maxillary cyst following maxillary sinus augmentation: a case report
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a810790907474cb1ba79d4be83cb5100
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AT hyunchanglim latedevelopedunusualnasalinvolvementofpostoperativemaxillarycystfollowingmaxillarysinusaugmentationacasereport
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