Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Mucocele in the maxillary sinus involving the orbit: A report of 2 cases

  • Yeom, Han-Gyeol (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Lee, Wan (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Han, Su-Il (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Lee, Jae-Hoon (Department of Otolaryngology, Institute of Wonkwang Medical Science, School of Medicine, Wonkwang University) ;
  • Lee, Byung-Do (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University)
  • Received : 2021.11.18
  • Accepted : 2022.05.02
  • Published : 2022.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Mucocele of the paranasal sinuses is a benign, slow-growing, expansile lesion. Maxillary sinus mucoceles are usually associated with painless bulging of the cheek; however, orbital expansion is rarely observed. Maxillary sinus mucoceles can be classified as primary or secondary according to their etiology. An impediment to sinus ostium ventilation is thought to be the cause of primary mucocele, while sequestering of residual mucosa after surgery in the wound and long-term retention of tissue fluid have been suggested to lead to the formation of secondary mucocele. This report presents 2 cases of primary and secondary mucoceles, with a focus on radiographic features. As primary and superiorly positioned secondary maxillary sinus mucoceles are uncommon and their close proximity to the orbit predisposes the patient to significant morbidity, the authors expect that this report will contribute to a better understanding and diagnosis of maxillary sinus mucocele involving the orbit.

Keywords

References

  1. Capra GG, Carbone PN, Mullin DP. Paranasal sinus mucocele. Head Neck Pathol 2012; 6: 369-72. https://doi.org/10.1007/s12105-012-0359-2
  2. Van Tassel P, Lee YY, Jing BS, De Pena CA. Mucoceles of the paranasal sinuses: MR imaging with CT correlation. AJR Am J Roentgenol 1989; 153: 407-12. https://doi.org/10.2214/ajr.153.2.407
  3. Obeso S, Llorente JL, Pablo Rodrigo J, Sanchez R, Mancebo G, Suarez C. Paranasal sinuses mucoceles. Our experience in 72 patients. Acta Otorrinolaringol Esp 2009; 60: 332-9. https://doi.org/10.1016/j.otorri.2009.05.006
  4. Shahi S, Devkota A, Bhandari TR, Pantha T, Gautam D. Rare giant maxillay mucocele: a rare case report and literature review. Ann Med Surg (Lond) 2019; 43: 68-71. https://doi.org/10.1016/j.amsu.2019.05.013
  5. Fu CH, Chang KP, Lee TJ. The difference in anatomical and invasive characteristics between primary and secondary paranasal sinus mucoceles. Otolaryngol Head Neck Surg 2007; 136: 621-5. https://doi.org/10.1016/j.otohns.2006.10.029
  6. Marks SC, Latoni JD, Mathog RH. Mucoceles of the maxillary sinus. Otolaryngol Head Neck Surg 1997; 117: 18-21. https://doi.org/10.1016/S0194-59989770200-6
  7. Lee KC, Lee NH. Comparison of clinical characteristics between primary and secondary paranasal mucoceles. Yonsei Med J 2010; 51: 735-9. https://doi.org/10.3349/ymj.2010.51.5.735
  8. Abdel-Aziz M, El-Hoshy H, Azooz K, Naguib N, Hussein A. Maxillary sinus mucocele: predisposing factors, clinical presentations, and treatment. Oral Maxillofac Surg 2017; 21: 55-8. https://doi.org/10.1007/s10006-016-0599-5
  9. Caylakli F, Yavuz H, Cagici AC, Ozluoglu LN. Endoscopic sinus surgery for maxillary sinus mucoceles. Head Face Med 2006; 2: 29. https://doi.org/10.1186/1746-160X-2-29
  10. Lee JH. A clinical analysis of postoperative cheek cyst: 10-year experience. J Clin Otolaryngol Head Neck Surg 2012; 23: 79-84. https://doi.org/10.35420/jcohns.2012.23.1.79
  11. Wang TJ, Liao SL, Jou JR, Lin LL. Clinical manifestations and management of orbital mucoceles: the role of ophthalmologists. Jpn J Ophthalmol 2005; 49: 239-45. https://doi.org/10.1007/s10384-004-0174-8
  12. Hasegawa M, Kuroishikawa Y. Protrusion of postoperative maxillary sinus mucocele into the orbit: case reports. Ear Nose Throat J 1993; 72: 752-4. https://doi.org/10.1177/014556139307201114
  13. Heo MS, Song MY, Lee SS, Choi SC, Park TW. A comparative study of the radiological diagnosis of postoperative maxillary cyst. Dentomaxillofac Radiol 2000; 29: 347-51. https://doi.org/10.1038/sj.dmfr.4600552
  14. Kaneshiro S, Nakajima T, Yoshikawa Y, Iwasaki H, Tokiwa N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg 1981; 39: 191-8.
  15. Canalis RF, Zajtchuk JT, Jenkins HA. Ethmoidal mucoceles. Arch Otolaryngol 1978; 104: 286-91. https://doi.org/10.1001/archotol.1978.00790050052012
  16. Marques J, Figueiredo R, Aguirre-Urizar JM, Berini-Aytes L, Gay-Escoda C. Root resorption caused by a maxillary sinus mucocele: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: e37-40. https://doi.org/10.1016/j.tripleo.2010.12.008
  17. Pe MB, Sano K, Kitamura A, Inokuchi T. Computed tomography in the evaluation of postoperative maxillary cysts. J Oral Maxillofac Surg 1990; 48: 679-84. https://doi.org/10.1016/0278-2391(90)90049-8
  18. Ohba T, Morimoto Y, Nagata Y, Tanaka T, Kito S. Comparison of the panoramic radiographic and CT features of post-CaldwellLuc maxillary sinuses. Dentomaxillofac Radiol 2000; 29: 280-5. https://doi.org/10.1038/sj.dmfr.4600544
  19. Hasegawa M, Kuroishikawa Y. Protrusion of postoperative maxillary sinus mucocele into the orbit: case reports. Ear Nose Throat J 1993; 72: 752-4. https://doi.org/10.1177/014556139307201114
  20. Som PM, Shugar JM. Antral mucoceles: a new look. J Comput Assist Tomogr 1980; 4: 484-8. https://doi.org/10.1097/00004728-198008000-00015
  21. Noyek AM. Radiology of the maxillary sinus after CaldwellLuc surgery. Otolaryngol Clin North Am 1976; 9: 135-51. https://doi.org/10.1016/S0030-6665(20)32721-3
  22. Garg AK, Mugnolo GM, Sasken H. Maxillary antral mucocele and its relevance for maxillary sinus augmentation grafting: a case report. Int J Oral Maxillofac Implants 2000; 15: 287-90.
  23. Barsley RE, Thunthy KH, Weir JC. Maxillary sinus mucocele. Report of an unusual case. Oral Surg Oral Med Oral Pathol 1984; 58: 499-505. https://doi.org/10.1016/0030-4220(84)90351-7
  24. Siedek V, Stelter K, Betz CS, Berghaus A, Leunig A. Functional endoscopic sinus surgery - a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2009; 73: 741-5. https://doi.org/10.1016/j.ijporl.2009.01.019