Mucosal Cysts of the Maxillary Sinus in Solid Organ Transplant Population: Computerised Tomography Follow-Up Results

Yıl 2013, , 305 - 308, 01.03.2013

Erdinç Aydın Hasan Yerli Suna Tanrıkulu Evren Hizal

https://doi.org/10.5152/balkanmedj.2013.8475

Öz

Background: The clinical significance of maxillary sinus mucosal cysts in liver and kidney transplant recipients remains unclear. Aim: To investigate the course of maxillary mucosal cysts in liver and kidney transplantation patients. Study Design: Retrospective clinical study Methods: Paranasal sinus computed tomography scans of 169 renal and 43 hepatic transplant recipients were reviewed. The incidence, size and growth characteristics of maxillary mucosal cysts in the renal and hepatic transplant population were noted. Results: Overall incidence of maxillary sinus mucosal cyst in transplantation patients was found to be 24.5%, with a male to female ratio of 2:1 (p<0.05). Follow-up views of 26 patients showed that the size of the cysts increased in 19, decreased in 4, and remained the same in 3 patients. Mean growth rate of the cysts was calculated to be 6.30 ± 7.02 mm2 per month. Most of the cysts were located on the inferior wall of the maxillary sinus. Conclusion: Incidence of the maxillary mucosal cysts in renal and hepatic transplant recipients does not differ from general population, but these cysts have a greater tendency to grow. Specific measures are not needed for isolated, asymptomatic maxillary mucosal cysts in transplant populations. Turkish Başlık: Solid Organ Transplant Popülasyonunda Maksiller Sinüs Mukozal Kistleri: Bilgisayarlı Tomografi Takip Sonuçları. Anahtar Kelimeler: maksiller sinüs, mukozal kist, retansiyon kisti, böbrek transplantasyonu, karaciğer transplantasyonu Arkaplan: Karaciğer ve böbrek transplant alıcılarında maksiller sinüs mukozal kistlerinin klinik açıdan önemi halen net değildir. Amaç: Karaciğer ve böbrek ransplantasyonu yapılan hastalarda maksiller mukozal kistlerin seyrini araştırmak Çalışma Tasarımı: Retrospektif klinik çalışma Yöntem: Böbrek transplantasyonu yapılmış 169 hasta ile karaciğer transplantasyonu yapılmış 43 hastanın paranazal sinüs bilgisayarlı tomografi görüntüleri incelendi. Maksiller mukozal kistlerin görülme sıklığı, ölçüleri ve büyüme özellikleri belirlendi. Bulgular: Genel olarak maksiller sinus mukozal kisti görülme sıklığı %24.5 olarak bulundu. Erkek/kadın oranı 2:1 idi (p<0.05). Takip görüntüleri bulunan 26 hastanın 19'unda kistlerin büyüdüğü, 4'ünde küçüldüğü, 3'ünde ise kist büyüklüğünün değişmediği görüldü. Kistlerin ortalama büyüme hızı ayda 6.30 ± 7.02 mm2 olarak hesaplandı. Kistlerin çoğu maksiller sinüs inferior duvarı yerleşimli idi. Sonuç: Böbrek ve karaciğer transplantasyonu yapılmış hastalarda maksiller mukozal kistlerin görülme sıklığı genel popülasyondakinden farklı değildir; ancak büyüme eğilimi daha fazladır. Transplant hastalarında, belirti veya bulgu vermeyen maksiller mukozal kistleri için özel önlemler almak gereksizdir.

Anahtar Kelimeler

Maxillary sinus, mucosal cyst, retention cyst, kidney transplantation, liver transplantation

Mucosal Cysts of the Maxillary Sinus in Solid Organ Transplant Population: Computerised Tomography Follow-Up Results

Öz

Kaynakça

• Paparella MM. Mucosal cyst of the maxillary sinus. Arch Otolaryngol 1963;77:650-70. [CrossRef]
• Ruprecht A, Batniji S, el-Neweihi E. Mucous retention cyst of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62:728-31. [CrossRef]
• Rhodus NL. The prevalence and clinical significance of maxillary sinus mucous retention cysts in a general clinic population. Ear Nose Throat J 1990;69:82, 4, 6-7.
• Kanagalingam J, Bhatia K, Georgalas C, Fokkens W, Miszkiel K, Lund VJ. Maxillary mucosal cyst is not a manifestation of rhinosinusitis: results of a prospective three-dimensional CT study of ophthalmic patients. Laryngoscope 2009;119:8-12. [CrossRef]
• Gardner DG. Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1984;58:561-7. [CrossRef] Sia IG, Paya CV. Infectious complications following renal transplantation. Surg Clin North Am 1998;78:95-112. [CrossRef] van de Beek D, Patel R, Campeau NG, Badley A, Parisi JE, Rabinstein AA. Insidious sinusitis leading to catastrophic cerebral aspergillosis in transplant recipients. Neurology 2008;70:2411-3. [CrossRef]
• Steadman CD, Salmon AH, Tomson CR. Isolated sphenoid sinusitis complicated by meningitis and multiple cerebral infarctions in a renal transplant recipient. Nephrol Dial Transplant 2004;19:242-4. [CrossRef]
• Hadar T, Shvero J, Nageris BI, Yaniv E. Mucus retention cyst of the maxillary sinus: the endoscopic approach. Br J Oral Maxillofac Surg 2000;38:227-9. [CrossRef]
• Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e80-7. [CrossRef]
• Holler W. Diagnosis and therapy of mucous retention cysts of the maxillary sinus. Dtsch Zahnarztl Z 1953;81:69-72.
• Van Alyea OE. Management of non-malignant growths in the maxillary sinus. Ann Otol Rhinol Laryngol 1956;65:714-22.
• Halstead CL. Mucosal cysts of the maxillary sinus: report of 75 cases. J Am Dent Assoc 1973;87:1435-41.
• Casamassimo PS, Lilly GE. Mucosal cysts of the maxillary sinus: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol 1980;50:282-6. [CrossRef]
• Wang JH, Jang YJ, Lee BJ. Natural course of retention cysts of the maxillary sinus: long-term follow-up results. Laryngoscope 2007;117:341-4. [CrossRef]
• Kwapis BW, Whitten JB. Mucosal cysts of the maxillary sinus. J Oral Surg 1971;29:561-6.
• Ence BK, Parsons DS. Mucous retention cyst causing pain of the infraorbital nerve. Otolaryngol Head Neck Surg 1990;103:1031-4. López-Medrano F, Aguado JM, Lizasoain M, Folgueira D, Juan RS, Díaz-Pedroche C, et al. Clinical implications of respiratory virus infections in solid organ transplant recipients: a prospective study. Transplantation 2007;84:851-6. [CrossRef]
• Tomazic P, Neuschitzer A, Koele W, Lang-Loidolt D. Feasibility of routine paranasal sinus CT-scans in preoperative transplant patients. Ann Transplant 2011;16:31-5.