Maxillary cyst

Case contributed by Dr Matthew Lukies

Presentation

Presentation of left facial and dental pain, on a background of chronic hepatitis C cirrhosis.

Patient Data

Age: 40
Gender: Male
Modality: X-ray
  • Absent third molar (Wisdom) teeth in all four quadrants and an absent left upper premolar
  • Multiple tooth restorations
  • Impression of a lucency above the roots of the left upper molars (teeth 2.6 and 2.7)
Modality: CT
  • Metallic streak artefact from the multiple dental restorations
  • Bilateral fluid dense areas in the maxillary sinuses with partial destruction of the maxillary bone, worse on the left and extending into the periapical region of the left upper molars
  • This most likely represents a chronically infected maxillary cyst

Case Discussion

The patient in this case was treated initially with antibiotics for an infected left maxillary cyst, then proceeded to surgery, where the lesion was drained and marsupialised. The histopathology was inspissated (thickened) mucous, benign nasal mucosa and fibroadipose tissue.

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Case Information

rID: 46587
Case created: 9th Jul 2016
Last edited: 10th Jul 2016
System: Head & Neck
Inclusion in quiz mode: Included

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