Frequency, Location, and Association with Dental Pathology of Mucous Retention Cysts in the Maxillary Sinus. A Radiographic Study Using Cone Beam Computed Tomography (CBCT)

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2017 Sep 19

PMID 28920140

Citations 15

Authors

Andy Wai Kan Yeung

Ray Tanaka

Pek-Lan Khong

Thomas von Arx

Michael M Bornstein

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of the present study was to evaluate the frequency, locations, and dimensions of mucous retention cysts of the maxillary sinus and analyze potential associated dental pathology.

Materials And Methods: A total of 156 cone beam computed tomography (CBCT) scans were included in the analysis, resulting in an evaluation of 310 maxillary sinuses. The presence of mucous retention cysts (MRC) manifesting as dome-shaped radiopacities in the sinus was diagnosed. Their locations were recorded, and dimensions (mm) were measured in coronal and sagittal/axial slices. The patients were grouped into (a) patients/sinuses with MRCs (test), and (b) patients/sinuses with healthy or any other changes (control) for further comparison and evaluation.

Results: There were 40 sinuses (12.9%) with a presence of a total of 56 MRCs. The mean age of involved patients was 29.0 years. The analysis showed that gender, age, sinus side, status of dentition, endodontic status, and periodontal status did not have a significant influence on the presence of MRCs when compared between test and control groups. Age and endodontic status exhibited a significant association with cyst location.

Conclusions: Most of the sinuses analyzed (79.5%) did not present any MRC, and only 28.6% of the cysts diagnosed were found on the floor of the maxillary sinus. The mean dimension of the MRCs measured 6.28 ± 2.93 mm. No influencing factors on the presence or absence of MRCs were found in the present study.

Clinical Relevance: Most MRCs were not located on the floor of maxillary sinus. Future studies should assess their impact on surgical interventions in the sinus.

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