Patel Hetal, Lall Abhineet
Department of ENT and Head Neck Surgery, Seth G S Medical College and KEM Hospital, Parel, Mumbai, India.
Indian J Otolaryngol Head Neck Surg. 2010 Oct;62(4):403-7. doi: 10.1007/s12070-010-0106-5. Epub 2011 Jan 11.
Unilateral maxillary swelling is a rare condition, however we being in tertiary care centre did see a large number of these cases. All patients presenting with unilateral maxillary seen during the last 3 years were included in this retrospective study and evaluated concerning histories, diagnostic and therapeutic approaches and achieved outcomes. A total of 31 patients were seen during this period. 27 of these were benign lesions and were subdivided as follows: odontogenic cystic lesions (11/27), fibro-osseous lesions (8/27), secondary to extensive allergic fungal sinusitis (5/27) and mucocele (2/27). The remaining five were malignant lesions, two each were squamous cell cancer and adenocarcinoma of the maxillary sinus, and one was rhabdomyosacroma. All patients received treatment with due merit of the underlying etiology. Understanding and recognizing key diagnostic features helps in appropriate management and reducing morbidity.
单侧上颌肿胀是一种罕见病症,然而我们身处三级医疗中心,确实见过大量此类病例。本回顾性研究纳入了过去3年中所有出现单侧上颌肿胀的患者,并对其病史、诊断和治疗方法以及治疗效果进行了评估。在此期间共诊治了31例患者。其中27例为良性病变,细分如下:牙源性囊性病变(11/27)、纤维-骨病变(8/27)、继发于广泛变应性真菌性鼻窦炎(5/27)和黏液囊肿(2/27)。其余5例为恶性病变,其中2例为上颌窦鳞状细胞癌和腺癌,1例为横纹肌肉瘤。所有患者均根据潜在病因接受了相应治疗。了解并识别关键诊断特征有助于进行恰当管理并降低发病率。