LARGE DENTIGEROUS CYST IN THE MAXILLARY SINUS LEADING TO DIPLOPIA AND NASAL OBSTRUCTION: CASE REPORT
Öz
Dentigerous cysts are the most common
developmental odontogenic cyst of the jaws. They
are more frequent in males and although most
often affected teeth are maxillary canines and
mandibular third molars, they may also be related
with supernumerary or an ectopically erupted tooth.
Our aim was to report the management of ectopic
third molar tooth related with a dentigerous cyst
in maxillary sinus. 16 years old girl referred to our
clinic with a complaint of painful swelling over her
right cheek since past six months. All permanent
teeth were present except the right upper third molar.
External examination showed that the face was gently
asymmetrical; levels of eye globes were abnormal.
Radiographic examination revealed a cystic lesion
related with ectopic third molar which located in the
roof of the left maxillary sinus. Under local anesthesia,
hard drain was inserted into the hole and the cystic
pressure was decreased. After the six month of followup,
the operation was performed under general
anesthesia. The patient’s symptoms were resolved
completely after surgery and remained symptom-free
for over a postoperative follow-up period of 3 year.
To avoid unwanted effects of a dentigerous
cyst, unerupted tooth should be observed
with radiographic imaging. Some untreated
dentigerous cysts may grow large and have a
potential to develop into an odontogenic tumor.
Kaynakça
- Girish G, Mahesh Kumar R, Umashankar DN, Rashi Sharma, Veeresh M, Bhandari A. Dentigerous cyst in maxillary sinus: a rare occurrence. Int J Oral Maxillofac Pathol 2011;2(2):20-23.
- Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(1):67-71.
- Dağistan S, Cakur B, Göregen M. A dentigerous cyst containing an ectopic canine tooth below the floor of the maxillary sinus: a case report. J Oral Sci 2007;49(3):249-252.
- Beriat GK, Beriat NÇ, Yalçınkaya E. Ectopıc molar tooth in the maxillary sinus: a case report. Clinical Dent Research 2011;35(2):35-40.
- Di Pasquale P, Shermetaro C. Endoscopic removal of a dentigerous cyst producing unilateral maxillary sinus opacification on computed tomography. Ear Nose Throat J 2006;85(11):747-748.
- Tournas AS, Tewfik MA, Chauvin PJ, Manoukian JJ. Multiple unilateral maxillary dentigerous cysts in a nonsyndromic patient: a case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra 2006;1(2):100-106.
- Mahajan S, Raj V, Boaz K, George T. Non-syndromic bilateral dentigerous cysts of mandibular premolars: a rare case and review of literature. Hong Kong Dental J 2006;3(2):129-133.
- Ko KS, Dover DG, Jordan RC. Bilateral dentigerous cysts-report of an unusual case and review of the literature. J Can Dent Assoc 1999;65(1):49-51.
- Miller CS, Bean LR. Pericoronal radiolucencies with and without radiopacities, Dent Clin North Am 1994;38(1):51-61.
- Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J 2005;198(4):203-206.
- Takagi S, Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6-year-old child. J Oral Maxillofac Surg 1998;56(2):237-239.
- Yamalik K, Bozkaya S, Erkmen E, Baris E. Nonsyndromic bilateral mandibular dentigerous cysts: report of a rare case. Turkiye Klinikleri J Dent Sci 2007(3);13:129-134.
Maksiller Sinüste Diplopi ve Burun Tıkanıklığına Yol Açan Geniş Boyutlarda Dentijeröz Kist: Olgu Sunumu
Öz
Dentijeröz kistler, çenelerin en yaygın gelişimsel odontojenik kistleridir. Sıklıkla erkeklerde görülür ve en çok maksillar kanin, mandibular üçüncü molar dişleri etkilerler. Süpernumere ve ektopik olarak sürmüş dişlerle ilişkili olabilirler. Bu makalede; maksiller sinüste ektopik üçüncü molar dişle ilişkili dentijeröz kistin tedavisini sunmayı amaçladık. 16 yaşında kadın hasta, yaklaşık altı aydır olan, sağ yanağının üzerinde ağrılı şişlik şikâyeti ile kliniğimize başvurdu. Tüm daimi dişler sağ üst üçüncü molar dışında mevcuttu. Ekstraoral muayenede yüzde asimetri, göz kürelerinin seviyelerinin eşit olmadığı görüldü. Radyografik muayenede, sol maksiller sinüste ektopik üçüncü molar dişle ilişkili kistik lezyon saptandı. Lokal anestezi altında marsüpyalizasyon yapıldı. Altı aylık takipten sonra genel anestezi ile cerrahi operasyonu yapıldı. Hastanın şikâyetlerinin operasyondan sonra tamamen geçtiği görüldü ve 3 yıllık takipte herhangi bir problemle karşılaşılmadı.Dentijeröz kistin istenmeyen etkilerinden kaçınabilmek için, sürmemiş dişlerin radyolojik incelemeleri dikkatle yapılmalıdır. Tedavi edilmeyen dentigeröz kistler büyük boyutlara ulaşabilir. Ayrıca odontojenik tümör oluşturma potansiyeline sahiptirler
Anahtar Kelimeler
Kaynakça
- Girish G, Mahesh Kumar R, Umashankar DN, Rashi Sharma, Veeresh M, Bhandari A. Dentigerous cyst in maxillary sinus: a rare occurrence. Int J Oral Maxillofac Pathol 2011;2(2):20-23.
- Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(1):67-71.
- Dağistan S, Cakur B, Göregen M. A dentigerous cyst containing an ectopic canine tooth below the floor of the maxillary sinus: a case report. J Oral Sci 2007;49(3):249-252.
- Beriat GK, Beriat NÇ, Yalçınkaya E. Ectopıc molar tooth in the maxillary sinus: a case report. Clinical Dent Research 2011;35(2):35-40.
- Di Pasquale P, Shermetaro C. Endoscopic removal of a dentigerous cyst producing unilateral maxillary sinus opacification on computed tomography. Ear Nose Throat J 2006;85(11):747-748.
- Tournas AS, Tewfik MA, Chauvin PJ, Manoukian JJ. Multiple unilateral maxillary dentigerous cysts in a nonsyndromic patient: a case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra 2006;1(2):100-106.
- Mahajan S, Raj V, Boaz K, George T. Non-syndromic bilateral dentigerous cysts of mandibular premolars: a rare case and review of literature. Hong Kong Dental J 2006;3(2):129-133.
- Ko KS, Dover DG, Jordan RC. Bilateral dentigerous cysts-report of an unusual case and review of the literature. J Can Dent Assoc 1999;65(1):49-51.
- Miller CS, Bean LR. Pericoronal radiolucencies with and without radiopacities, Dent Clin North Am 1994;38(1):51-61.
- Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J 2005;198(4):203-206.
- Takagi S, Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6-year-old child. J Oral Maxillofac Surg 1998;56(2):237-239.
- Yamalik K, Bozkaya S, Erkmen E, Baris E. Nonsyndromic bilateral mandibular dentigerous cysts: report of a rare case. Turkiye Klinikleri J Dent Sci 2007(3);13:129-134.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları / Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Mayıs 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 49 Sayı: 2 |
Kaynak Göster
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