Maksiller Sinüsün Dev Dentigeröz Kisti ve Endoskopi Yardımıyla Çıkarılması

Yıl 2009, Cilt: 14 Sayı: 2, 134 - 136, 01.04.2009

Ahmet Eyibilen Nilüfer Özkan Fatih Turan Mehmet Güven İbrahim Aladağ

Öz

Maksiller sinüsde diş kaynaklı kistik oluşumlar nadir görülen olgular değildir. Ancak bu kistlerin tüm sinüsü kaplayıp maksiller sinüsü tamamen genişletip dev boyutlara ulaşması da sık görülmez. Bu makalede sağ yüz yarısında şişlik olarak bulgu veren ve burun boşluğunu daraltıp etmoid sinüslere uzanan bir dentigeröz kist olgusu sunulmuştur Tedavisinde Caldwell yaklaşımıyla kist kapsülüyle birlikte endoskopi yardımıyla tamamen çıkarılmıştır. Olgunun sunulmasındaki amaç bu tip olgularda cerrahi tedavide klasik yöntemlerle birlikte modern yöntemlerden yararlanmanın cerrahide etkinliği ve güvenliği arttırdığını vurgulamaktır.

Anahtar Kelimeler

Dentigeröz kist, odontojenik kist, maksiller sinüs

Giant Dentigerous Cyst in the Maxillary Sinus and Removed with Guided Endoscopy

Öz

The odontogenic cyst is not rare in the maxillary sinus. However, it is rare that the cyst completely fills and expands the maxillary sinus and becomes the giant cyst. In the lecture, it was presented a dentigerous cyst appeared as the right midfacial swelling and narrowed the right nasal cavity and expanded to the ethmoid sinuses. The cyst was extracted completely with guided endoscopy as a surgical therapy. The reason for presenting the case is to emphasize that to combine classical surgical methods with modern methods increases efficiency and reliability in the surgical therapy.

Anahtar Kelimeler

-

Kaynakça

• 1. Ömer Günhan. Oral maksillafasial patoloji, Atlas Kitapçılık, 2001: 33-59.
• 2. Smith JL 2nd, Kellman RM. Dentigerous cysts presenting as head and neck infections. Otolaryngol Head Neck Surg 2005; 133: 715-717.
• 3. Lustmann J, Shear M. Radicular cysts arising from deciduous teeth. Review of the literature and report of 23 cases. J Oral Surg 1985; 14: 153-161.
• 4. Desai RS, Vanaki SS, Puranic RS, Tegginamani AS. Dentigerous cyst associated with permanent central incisor: A rare entity. J Indian Soc Pedod Prev Dent 2005; 23: 49-50.
• 5. Shear M. Dentigerous (follicular) cyst. In: Cysts of the oral region, 2nd Ed. Bristol: Wright PSG; 1983: 56-75.
• 6. Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MC, Mesquita RA. Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 35-41.
• 7. Bux P, Lisco V. Ectopic third molar associated with a dentigerous cyst in the subcondylar region: report of a case. J Oral Maxillofac Surg 1994; 52: 630-632.
• 8. Weber AL. Imaging of cysts and odontogenic tumors of the jaw. Definition and classification. Radiol Clin North Am 1993; 31: 101-120.
• 9. Hisatomi M, Asaumi J, Konouchi H, Shigehara H, Yanagi Y, Kishi K. MR imaging of epithelial cysts of the oral and maxillofacial region. Eur J Radiol 2003; 48: 178-182.
• 10. Geiger G. Ameloblast proliferation within dentigerous cysts of the jaw bone. Dtsch Z Mund Kiefer Gesichtschir 1991; 15: 107-110.
• 11. Piattelli A, Lezzi G, Fioroni M, Santinelli A, Rubini C. Ki-67 expression in dentigerous cysts, unicystic ameloblastomas, and ameloblastomas arising from dental cysts. J Endod 2002; 28: 55-58.
• 12. Gulbranson SH, Wolfrey JD, Raines JM, McNally BP. Squamous cell carcinoma arising in a dentigerous cyst in a 16- month-old girl. Otolaryngol Head Neck Surg 2002; 127: 463- 464.
• 13. Manganaro AM, Cross SE, Startzell JM. Carcinoma arising in a dentigerous cyst with neck metastasis. Head Neck 1997; 19: 436-439.
• 14. Clauser C, Zuccati GK, Barone R, Villano A. Simplified surgical-orthodontic treatment of a dentigerous cyst. J Clin Orthod 1994; 28: 103-6.
• 15. Micozkadioglu SD, Erkan AN. Endoscopic removal of a maxillary dentigerous cyst. B-ENT 2007; 3: 213-216.