MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT
"Mucous retention cyst of the maxillary sinus is a benign pathologic lesion. Most of the cases appeared asymptomatic and discovered accidentally during radiographic examinations. However, some cases present with symptoms such as; dizziness, headache, congestion, allergy, and paresthesia. The...
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Romanian Society of Oral Rehabilitation
2025-06-01
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| Series: | Romanian Journal of Oral Rehabilitation |
| Online Access: | https://rjor.ro/management-of-maxillary-sinus-mucous-retention-cyct-a-clinical-report/ |
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| author | Sultan Albeshri Costa Nicolopoulos Raed AlRowis Gary Greenstein |
| author_facet | Sultan Albeshri Costa Nicolopoulos Raed AlRowis Gary Greenstein |
| author_sort | Sultan Albeshri |
| collection | DOAJ |
| description | "Mucous retention cyst of the maxillary sinus is a benign pathologic lesion. Most of the cases appeared asymptomatic and discovered accidentally during radiographic examinations. However, some cases present with symptoms such as; dizziness, headache, congestion, allergy, and paresthesia.
The aim of this report was to present successful conservative surgical management of a large maxillary mucous retention cyst associated with a deep pocket of a non-vital maxillary right second molar. Case report A 38-year-old male patient presented to the dental clinic with dull pain and suppuration around tooth #17. Clinical and radiographic examinations demonstrated generalized plaque and calculus deposits, BOP, gingival recession, and a large radiographic cystic area apical and lateral to tooth #17. A deep pocket, (PD) 15mm, was noted on #17 mesio-buccal, at this site there was suppuration, BOP, and grade II mobility. A vitality test indicated that the tooth was non-vital and symptomatic upon percussion. Following the extraction of the infected tooth, an excisional biopsy of the cystic lesion was performed. Histopathological examination confirmed the diagnosis of a mucous retention cyst. Case management involved extraction of the infected tooth, socket degranulation, and cyst enucleation. The sinus cavity was packed with gauze impregnated with bismuth subnitrate iodoform paraffin paste (BIPP). Uneventful rapid healing was observed. A cone-beam computed tomography (CBCT) scan obtained 1 year postoperatively demonstrated complete resolution of the cystic cavity. Clinically, complete soft tissue healing was evident. Conclusion This case highlights the successful management of a mucous retention cyst using a combination of extraction, cyst enucleation, and BIPP packing, with 12 months of follow-up showing stable results."
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| format | Article |
| id | doaj-art-25584003f5a944baabeb76e93b0d8a55 |
| institution | Kabale University |
| issn | 2066-7000 2601-4661 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj-art-25584003f5a944baabeb76e93b0d8a552025-08-20T04:01:18ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612025-06-0117255255810.62610/RJOR.2025.2.17.50MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORTSultan Albeshri0Costa Nicolopoulos1Raed AlRowis2Gary Greenstein3Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 12372, Saudi ArabiaDirector at Branemark Osseointegration Center, Dubai, UAE. Private Practice, SameDay Dental Implants, Dubai.Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 12372, Saudi ArabiaClinical Professor, Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, USA"Mucous retention cyst of the maxillary sinus is a benign pathologic lesion. Most of the cases appeared asymptomatic and discovered accidentally during radiographic examinations. However, some cases present with symptoms such as; dizziness, headache, congestion, allergy, and paresthesia. The aim of this report was to present successful conservative surgical management of a large maxillary mucous retention cyst associated with a deep pocket of a non-vital maxillary right second molar. Case report A 38-year-old male patient presented to the dental clinic with dull pain and suppuration around tooth #17. Clinical and radiographic examinations demonstrated generalized plaque and calculus deposits, BOP, gingival recession, and a large radiographic cystic area apical and lateral to tooth #17. A deep pocket, (PD) 15mm, was noted on #17 mesio-buccal, at this site there was suppuration, BOP, and grade II mobility. A vitality test indicated that the tooth was non-vital and symptomatic upon percussion. Following the extraction of the infected tooth, an excisional biopsy of the cystic lesion was performed. Histopathological examination confirmed the diagnosis of a mucous retention cyst. Case management involved extraction of the infected tooth, socket degranulation, and cyst enucleation. The sinus cavity was packed with gauze impregnated with bismuth subnitrate iodoform paraffin paste (BIPP). Uneventful rapid healing was observed. A cone-beam computed tomography (CBCT) scan obtained 1 year postoperatively demonstrated complete resolution of the cystic cavity. Clinically, complete soft tissue healing was evident. Conclusion This case highlights the successful management of a mucous retention cyst using a combination of extraction, cyst enucleation, and BIPP packing, with 12 months of follow-up showing stable results." https://rjor.ro/management-of-maxillary-sinus-mucous-retention-cyct-a-clinical-report/ |
| spellingShingle | Sultan Albeshri Costa Nicolopoulos Raed AlRowis Gary Greenstein MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT Romanian Journal of Oral Rehabilitation |
| title | MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT |
| title_full | MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT |
| title_fullStr | MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT |
| title_full_unstemmed | MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT |
| title_short | MANAGEMENT OF MAXILLARY SINUS MUCOUS RETENTION CYCT, A CLINICAL REPORT |
| title_sort | management of maxillary sinus mucous retention cyct a clinical report |
| url | https://rjor.ro/management-of-maxillary-sinus-mucous-retention-cyct-a-clinical-report/ |
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