LARGE DENTIGEROUS CYST IN THE MAXILLARY SINUS LEADING TO DIPLOPIA AND NASAL OBSTRUCTION: CASE REPORT

Abstract

Dentigerous cysts are the most common
developmental odontogenic cyst of the jaws. They
are more frequent in males and although most
often affected teeth are maxillary canines and
mandibular third molars, they may also be related
with supernumerary or an ectopically erupted tooth.
Our aim was to report the management of ectopic
third molar tooth related with a dentigerous cyst
in maxillary sinus. 16 years old girl referred to our
clinic with a complaint of painful swelling over her
right cheek since past six months. All permanent
teeth were present except the right upper third molar.
External examination showed that the face was gently
asymmetrical; levels of eye globes were abnormal.
Radiographic examination revealed a cystic lesion
related with ectopic third molar which located in the
roof of the left maxillary sinus. Under local anesthesia,
hard drain was inserted into the hole and the cystic
pressure was decreased. After the six month of followup,
the operation was performed under general
anesthesia. The patient’s symptoms were resolved
completely after surgery and remained symptom-free
for over a postoperative follow-up period of 3 year.
To avoid unwanted effects of a dentigerous
cyst, unerupted tooth should be observed
with radiographic imaging. Some untreated
dentigerous cysts may grow large and have a
potential to develop into an odontogenic tumor.

Keywords

• Dentigerous cyst; maxillary sinus; diplopia; nasal obstructionasal obtruction

Maksiller Sinüste Diplopi ve Burun Tıkanıklığına Yol Açan Geniş Boyutlarda Dentijeröz Kist: Olgu Sunumu

Abstract

Dentijeröz kistler, çenelerin en yaygın gelişimsel odontojenik kistleridir. Sıklıkla erkeklerde görülür ve en çok maksillar kanin, mandibular üçüncü molar dişleri etkilerler. Süpernumere ve ektopik olarak sürmüş dişlerle ilişkili olabilirler. Bu makalede; maksiller sinüste ektopik üçüncü molar dişle ilişkili dentijeröz kistin tedavisini sunmayı amaçladık. 16 yaşında kadın hasta, yaklaşık altı aydır olan, sağ yanağının üzerinde ağrılı şişlik şikâyeti ile kliniğimize başvurdu. Tüm daimi dişler sağ üst üçüncü molar dışında mevcuttu. Ekstraoral muayenede yüzde asimetri, göz kürelerinin seviyelerinin eşit olmadığı görüldü. Radyografik muayenede, sol maksiller sinüste ektopik üçüncü molar dişle ilişkili kistik lezyon saptandı. Lokal anestezi altında marsüpyalizasyon yapıldı. Altı aylık takipten sonra genel anestezi ile cerrahi operasyonu yapıldı. Hastanın şikâyetlerinin operasyondan sonra tamamen geçtiği görüldü ve 3 yıllık takipte herhangi bir problemle karşılaşılmadı.Dentijeröz kistin istenmeyen etkilerinden kaçınabilmek için, sürmemiş dişlerin radyolojik incelemeleri dikkatle yapılmalıdır. Tedavi edilmeyen dentigeröz kistler büyük boyutlara ulaşabilir. Ayrıca odontojenik tümör oluşturma potansiyeline sahiptirler

Keywords

• Dentijeröz kist, maksiller sinüs, diplopi, nazal obstrüksiyon

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