Large Follicular Cyst Associated with Upper Third Molar in the Maxillary Sinus with Pterygomaxillary Space Extension: Reflection on a Case Report

Authors

  • Carmelo Lo Faro Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University of Naples “Federico II,” Naples, Italy
  • Vincenzo Santillo Department of Medical-Surgical and Dental Specialities, Oral and Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli,” Caserta, Naples, Italy
  • Giorgio Lo Giudice Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University of Naples “Federico II,” Naples, Italy
  • Antonio Troiano Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University of Naples “Federico II,” Naples, Italy
  • Marco Montella Department of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania “Luigi Vanvitelli,” Caserta, Naples, Italy
  • Salvatore D'Amato Department of Medical-Surgical and Dental Specialities, Oral and Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli,” Caserta, Naples, Italy
  • Gianpaolo Tartaro Department of Medical-Surgical and Dental Specialities, Oral and Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli,” Caserta, Naples, Italy

DOI:

https://doi.org/10.3889/oamjms.2021.5624

Keywords:

Giant follicular cyst, Dentigerous cyst, pterygo-maxillary space, cone beam computer tomography, Caldwell-Luc technique

Abstract

BACKGROUND: Follicular cysts are osteolytic lesions characterized by greater growth, differentiation, and degeneration potentials, compared to inflammatory root cysts. Those connected to upper third molars can disrupt the neighboring teeth and extend to maxillary sinus and adjacent anatomical structures.

CASE PRESENTATION: In this study, we present a case of a large dimension follicular cyst associated with the upper third molar, extended to maxillary antrum and pterygomaxillary space, uncommon for dimensions, involving meso- and sovra-structure describing the clinical diagnostic procedures, and the surgical strategies adopted. The cone-beam computed tomography allowed a very accurate analysis of the lesion. Surgical excision was performed through Caldwell-Luc technique, approaching to the pterygomaxillary space. A 1-year follow-up shows good clinical, anatomical, and functional conditions. Histological examination confirmed the diagnosis of follicular cyst.

CONCLUSION: Giant follicular cysts require an accurate pre-operative study due to the delicate structures that may be involved.

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References

Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A case report and review of literature. Contemp Clin Dent. 2012;3(3):373-6. https://doi.org/10.4103/0976-237x.103642 PMid:23293505

Abrahams JJ, Oliverio PJ. Odontogenic cysts: Improved imaging with a dental CT software program. AJNR Am J Neuroradiol. 1993;14(2):367-74. PMid:8456714

Hirose K, Suzuki S, Kuroda T. A long-term follow-up case of multiple impacted teeth associated with large follicular cyst in maxilla. Kokubyo Gakkai Zasshi. 2000;67(2):213-20. https://doi.org/10.5357/koubyou.67.213 PMid:10921246

Srinivasa Prasad T, Sujatha G, Niazi TM, Rajesh P. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A rare entity. Indian J Dent Res. 2007;18(3):141-3. https://doi.org/10.4103/0970-9290.33793 PMid:17687180

Metzger MC, Wagner KW, Hohlweg-Majert B, Voss PJ, Schoen R, Schmelzeisen R. Diplopia and acute rectus muscle palsy as symptoms of an infected follicular cyst of a maxillary right third molar: A case report. Quintessence Int. 2007;38(7):571-4. PMid:17694213

Kara MI, Yanik S, Altan A, Oznalcin O, Ay S. Large dentigerous cyst in the maxillary sinus leading to diplopia and nasal obstruction: Case report. J Istanb Univ Fac Dent. 2015;49(2):46- 50. https://doi.org/10.17096/jiufd.10506 PMid:28955536

Tournas AS, Tewfik MA, Chauvin PJ, Manoukian JJ. Multiple unilateral maxillary dentigerous cysts in a non-syndromic patient: A case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra. 2006;1(2):100-6. https://doi.org/10.1016/j.pedex.2005.12.005

Girish G, Mahesh Kumar R, Umashankar DN, Sharma R, Veeresh M, Bhandari A. Dentigerous cyst in maxillary sinus: A rare occurrence. Int J Oral Maxillofac Pathol. 2011;2(2):20-3.

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. https://doi.org/10.1016/j.tripleo.2009.07.043 PMid:19875313

Troiano A, Lo Giudice G, De Luca R, Lo Giudice F, D’Amato S, Tartaro G, et al. Salvage of dental implant located in mandibular odontogenic cyst. A conservative surgical treatment proposal. Dent J (Basel). 2020;8(2):49. https://doi.org/10.3390/dj8020049 PMid:32403226

Panarese I, Lucà S, Ronchi A. Gingival manifestation of a therapy-related acute myelomonocytic leukemia in a patient with previously treated with R–CHOP scheme for diffuse large B-cell lymphoma. Oral Maxillofac Surg Cases. 2020;6(4):100182. https://doi.org/10.1016/j.omsc.2020.100182

Akyol UK, Salman IA. A case of an extensive dentigerous cyst in the maxillary sinus leading to epiphora and nasal obstruction. J Emerg Med. 2012;43(6):1004-7. https://doi.org/10.1016/j.jemermed.2010.11.045 PMid:21310578

Falcone F, Lazow SK, Berger JR, Gold BD. Superior orbital fissure syndrome. Secondary to infected dentigerous cyst of the maxillary sinus. N Y State Dent J. 1994;60(9):62-4. PMid:7808720

Bernardi S, Scarsella S, Di Fabio D, Oliva A, Di Girolamo M, Continenza MA, et al. Giant follicular cysts extended in pterygo-maxillary fossa, antro-naso-ethmoidal and orbital space associated to exophtalmos and diplopia in young patients. Oral Maxillofac Surg Cases. 2018;4(1):17-22. https://doi.org/10.1016/j.omsc.2018.02.002 15. Moldovan MA, Rotaru H, Roman CR. Giant follicular cyst with maxillary sinus and pterygomaxillary space extension. Ann Ital Chir. 2020;9:S2239253X20032983.

PMid:32588835

Romano A, Lo Faro C, Salzano G, Dell’Aversana Orabona G, Petrocelli M, Corvino R, et al. Synovial chondromatosis of temporomandibular joint spreading into the cranial space. J Oral Maxillofac Surg Med Pathol. 2018;30(3):267-71. https://doi.org/10.1016/j.ajoms.2018.01.006

Barca I, Lo Faro C, Cordaro R, Novembre D, Mignogn C, Cristofaro MG. Intramuscular lipoma involving the masticator space: A case report. J Oral Maxillofac Surg Med Pathol. 2019;31(3):208-11. https://doi.org/10.1016/j.ajoms.2019.02.003

Beriat GK, Beriat NÇ, Yalçınkaya E. Ectopic molar tooth in the maxillary sinus: A case report. Clin Dent Res. 2011;35(2):35-40.

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Published

2021-01-10

How to Cite

1.
Lo Faro C, Santillo V, Lo Giudice G, Troiano A, Montella M, D’Amato S, Tartaro G. Large Follicular Cyst Associated with Upper Third Molar in the Maxillary Sinus with Pterygomaxillary Space Extension: Reflection on a Case Report. Open Access Maced J Med Sci [Internet]. 2021 Jan. 10 [cited 2021 Sep. 20];9(C):16-9. Available from: https://oamjms.eu/index.php/mjms/article/view/5624

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Case Report in Dentistry

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