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Imaging Sci Dent. 2021 Jun;51(2):117-127. doi: 10.5624/isd.20200267. Epub 2021 Jan 29.
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Idiopathic Facial Pain Syndromes–An Overview and Clinical Implications.特发性面痛综合征——概述及临床意义。
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Med Oral Patol Oral Cir Bucal. 2021 May 1;26(3):e276-e283. doi: 10.4317/medoral.24155.
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Paranasal Sinus Anatomic Variations Accompanying Maxillary Sinus Retention Cysts: A Radiological Analysis.伴有上颌窦潴留囊肿的鼻窦解剖变异：一项放射学分析。
Turk Arch Otorhinolaryngol. 2017 Dec;55(4):162-165. doi: 10.5152/tao.2017.2759. Epub 2017 Dec 1.
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Maxillary sinus retention cysts protruding into the inferior meatus.上颌窦潴留囊肿突入下鼻道。
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Symptomatic maxillary sinus retention cysts: should they be removed?症状性上颌窦潴留囊肿：是否需要切除？
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Evidence-based interventional pain medicine according to clinical diagnoses. 3. Persistent idiopathic facial pain.循证介入疼痛医学，根据临床诊断。3. 持续性特发性面痛。
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Natural course of retention cysts of the maxillary sinus: long-term follow-up results.上颌窦潴留囊肿的自然病程：长期随访结果
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严重面部疼痛和上颌窦粘液潴留囊肿的切除。

Severe facial pain and removal of maxillary sinus mucous retention cyst.

机构信息

Dentist, MB2 zobozdravstvena dejavnost, Matija Bozovičar s.p, Škofja Loka, Slovenia.

Surgery, OMF kirurgija Marko Božič, s.p, Celje, Slovenia

出版信息

BMJ Case Rep. 2024 Apr 29;17(4):e259924. doi: 10.1136/bcr-2024-259924.

DOI:10.1136/bcr-2024-259924
PMID:38684353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11146357/
Abstract

Maxillary sinus retention cysts (MRCs) are typically asymptomatic and require no treatment. An early 30s man presented with a decade-long history of severe left-sided chronic facial pain (CFP). Multiple prior treatments resulted in an edentulous patient with persistent pain. Imaging revealed a dome-shaped radiopaque change in the left maxillary sinus. History and clinical examination suggested persistent idiopathic facial pain, and doubts about the outcome of a surgical intervention were explained to the patient. Surgical removal of the MRC via lateral antrotomy led to complete symptom resolution of CFP. This case substantiates the importance of considering MRCs as a possible cause of CFP. It also emphasises the need for a systematic multidisciplinary approach in cases of unexplained CFP.

摘要

上颌窦潴留囊肿（MRC）通常无症状，无需治疗。一名 30 岁出头的男子，左侧面部慢性疼痛（CFP）长达十年。多次先前的治疗导致这位无牙患者持续疼痛。影像学显示左侧上颌窦呈圆顶状不透射线改变。病史和临床检查提示持续性特发性面部疼痛，并向患者解释了手术干预的结果存疑。通过外侧上颌窦切开术切除 MRC 导致 CFP 完全缓解。该病例证实了 MRC 是 CFP 的可能原因之一。它还强调了在不明原因的 CFP 病例中需要系统的多学科方法。