Clarós P, Sarr M, Cardesa A
Rev Laryngol Otol Rhinol (Bord). 2014;135(1):45-7.
Rare complication of radical surgery (Caldwell Luc procedure) of the maxillary sinus, maxillary cyst can occurred several years after. We describe the case of a patient 56 years old, who came to our consultationfor repeated pain in the right maxillary region with moderate facial asymmetry. In her history we noted a previous sinus surgery (Caldwell Luc) more than 10 years before. The imaging showed an expansive process filled with proteinic tissue of the posterior wall of the maxillary. With the history of the former surgery, we suspected the existence of a mucocele. She underwent an endonasal surgery and the pathological examination of the specimen revealed an intra osseous cyst lined with ciliated respiratory type mucosa post surgery of the maxillary sinus. The diagnosis of a maxillary cyst complicating a Caldwell Luc was established based on the results obtained with the clinico-radiological and pathological results.
上颌窦根治术(柯-陆氏手术)的罕见并发症,上颌囊肿可能在数年后出现。我们描述了一位56岁患者的病例,她因右上颌区域反复疼痛并伴有中度面部不对称前来我们的诊所就诊。在她的病史中,我们注意到10多年前曾接受过鼻窦手术(柯-陆氏手术)。影像学检查显示上颌后壁有一个充满蛋白质组织的扩张性病变。鉴于既往手术史,我们怀疑存在黏液囊肿。她接受了鼻内手术,术后标本的病理检查显示为一个骨内囊肿,内衬有上颌窦手术后的纤毛呼吸型黏膜。根据临床-放射学和病理结果,确诊为柯-陆氏手术后并发上颌囊肿。