Bulut Asiye Şafak, Sehlaver Celal, Perçin Alp Korkut
Department of Pathology, MESA Hospital, Yasam Caddesi no 5, Sogutozu, 06510 Ankara, Turkey.
Patholog Res Int. 2010 Nov 4;2010:810835. doi: 10.4061/2010/810835.
Postoperative maxillary cyst is a quite rare delayed complication of surgical intervention associated with maxillary sinuses. It occurs many years after surgery. This paper describes a 54-year-old woman presenting with swelling of left cheek for seven-years duration. The orthopantomograph revealed a unilocular cystic radiolucency with well-defined margins in left maxillary sinus. In the computerized tomography, the cyst had a sclerotic wall with bony condensations. Aspiration cytology revealed many neutrophil leukocytes. Cyst was drained and enucleated. Histopathologically, it had a fibrous wall with inflammation and focal reactive bone formation and lined by a respiratory-type epithelium. In the clinical history, it is learned that she had a maxillary sinus surgery 8 years ago and the diagnosis was made considering the clinical and histopathological findings.
上颌窦术后囊肿是一种与上颌窦手术相关的极为罕见的延迟性并发症。它在手术后多年出现。本文描述了一名54岁女性，左侧面颊肿胀达七年之久。全景曲面断层片显示左侧上颌窦有一个边界清晰的单房性囊性透光区。在计算机断层扫描中，囊肿有一个硬化壁，伴有骨质增生。穿刺细胞学检查发现许多中性粒细胞。囊肿进行了引流和摘除。组织病理学检查显示，其具有一个伴有炎症和局灶性反应性骨形成的纤维壁，内衬呼吸型上皮。从临床病史中得知，她8年前做过上颌窦手术，结合临床和组织病理学检查结果做出了诊断。
