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Are maxillary mucosal cysts a manifestation of inflammatory sinus disease?

Published online by Cambridge University Press:  25 January 2007

R P S Harar ,
N K Chadha  and
G Rogers
R P S Harar*
Affiliation:
Royal National Throat, Nose and Ear Hospital, London, UK.
N K Chadha
Affiliation:
Royal National Throat, Nose and Ear Hospital, London, UK.
G Rogers
Affiliation:
Royal National Throat, Nose and Ear Hospital, London, UK.
*
Address for correspondence: Mr R P S Harar, 2 The Boulevard, Manor Rd, Woodford Green IG8 8GW, UK. E-mail: rpsharar@yahoo.co.uk
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Abstract

Background:

The aetiology of maxillary mucosal cysts is uncertain. Chronic rhinosinusitis has been proposed as a probable aetiological explanation for their formation.

Method:

We recruited 500 consecutive patients who had undergone computed tomography scanning of the paranasal sinuses for possible chronic sinus disease. We identified 110 (22 per cent) cases of maxillary mucosal cysts.

Results:

Patients' mean age was 42.65 years, with a female to male ratio of 0.69:1 (45:65). The mean cyst size was 14.27 mm, and most were located on the inferior surface of the antrum. Only in two cases did the cyst obstruct the sinus ostium. Of patients with antral cysts, 52.7 per cent had computed tomography evidence of sinus disease, whereas only 41.3 per cent of noncyst (control) patients had sinus pathology. The total Lund–Mackay score was significantly greater in the cyst group (n=390) compared with the noncyst group (Mann–Whitney; p<0.05).

Conclusion:

Chronic rhinosinusitis plays an important role in the aetiology of maxillary mucosal cysts.

Keywords

Maxillary SinusCystsSinusitisComputed Tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 751 - 754
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented at the 20th Congress of the European Rhinologic Society and at the 23rd International Symposium on Infection and Allergy of the Nose, 4 June 2004, Istanbul, Turkey.

References

1Halstead, CL. Mucosal cysts of the maxillary sinus: report of 75 cases. J Am Dent Assoc 1973;87:1435–41CrossRefGoogle ScholarPubMed
2Paperella, MM. Mucosal cysts of the maxillary sinus. Arch Otolaryngol 1963;77:650–7CrossRefGoogle Scholar
3Casamassimo, PS, Lilly, GE. Mucosal cysts of the maxillary sinsus: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol 1980;50:282–6Google Scholar
4Ruprecht, A, Batniji, S, El-Neweihi, E. Mucous retention cyst of the maxillary sinsus. Oral Surg Oral Med Oral Pathol 1986;62:728–31Google Scholar
5Rhodus, NL. The prevalence and clinical significance of maxillary sinus mucous retention cyst in a general clinic population. Ear Nose Throat J 1990;69:82–7Google Scholar
6Bhattacharyya, N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Arch Otolaryngol Head Neck Surg 2000;126:1369–71CrossRefGoogle ScholarPubMed
7Scribano, E, Ascenti, G, Loria, G, Cascio, F, Gaeta, M. The role of the ostiomeatal unit anatomic variations in inflammatory disease of the maxillary sinuses. Eur J Rad 1997;24:171–4Google Scholar
8Fisher, EW, Whittet, HB, Croft, CB. Symptomatic mucosal cysts of the maxillary sinus: antroscopic treatment. J Laryngol Otol 1989;103:1184–6CrossRefGoogle ScholarPubMed
9Ence, BK, Parsons, DS. Mucous retention cyst causing pain of the infraorbital nerve. Otolaryngol Head Neck Surg 1990;103:1031–4Google Scholar
10Kwapis, BW, Whitten, JB. Mucosal cysts of the maxillary sinus. J Oral Surg 1971;29:561–6Google Scholar
11Gothberg, KA, Little, JW, King, DR, Bean, LR. A clinical study of cysts arising from mucosa of the maxillary sinus. Oral Surg Oral Med Oral Path 1976;41:52–8CrossRefGoogle ScholarPubMed
12Berg, O, Carenfelt, C, Sobin, A. On the diagnosis and pathogenesis of intramural maxillary cysts. Acta Otolaryngol 1989;108:464–8Google Scholar
13Van Alyea, OE. Management of non-malignant growths in the maxillary sinus. Ann Otol Rhinol Laryngol 1956;65:714–22CrossRefGoogle ScholarPubMed
14House, LR. Benign cysts of the superior maxilla with special reference to cysts of the maxillary sinus. Arch Otolaryngol 1948;48:301–26CrossRefGoogle Scholar
15Mills, CP. Secretory cysts of the maxillary antrum and their relations to the development of antrochoanal polypi. J Laryngol Otol 1954;73:324–34CrossRefGoogle Scholar
16Garges, LM. Maxillary sinus barotraumas. Aviat Space Environ Med 1985;56:796–802Google Scholar
17Lund, VJ, Mackay, IS. Staging in rhinosinusitis. Rhinology 1993;31:183–4Google Scholar
18Oluwole, M, Russell, N, Tan, L, Gardiner, Q, White, P. A comparison of computerized tomographic staging systems in chronic sinusitis. Clin Otolaryngol Allied Sci 1996;21:91–5Google ScholarPubMed