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Rare giant maxillay mucocele: A rare case report and literature review.

Abstract

Introduction

Mucocele is a slow growing, benign but locally aggressive cystic structure lined by true epithelium. It often results due to obstructed sinus outflow or obstruction of gland-like mucous retention cyst. It can cause bony destruction and might result in orbital symptoms like diplopia, orbital displacement, visual disturbances. Other clinical features are facial numbness, dental problems, etc. Radiological evaluation is the preferred diagnostic modality. Surgical removal is the treatment of choice both endoscopic and open (could well luc) approach or combined approach are preferred. Here we report a very typical case of maxillary mucocele who presented with subtle symptoms of nasal obstruction. The study was done in compliance with SCARE guidelines.[1].

Case presentation

We present a very unique case of 24 years man with complaints of nasal obstruction and swelling over the right cheek for 2 years. He had a history of facial trauma two years back. Diagnosis was made on the basis of radiological examination CT (Computed Tomography) scan. He underwent enucleation via Cold well Luc's approach with good postoperative results.

Conclusion

Maxillary mucoceles are slow growing benign lesions. However, they are locally aggressive and cause bony destruction resulting into orbital and dental symptoms. Thus early recognistion with regular folllowr up and planning for surgical intervention can help avoid complications.

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  • Authors+Show Affiliations

    ,

    Department of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

    ,

    Department of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

    ,

    Department of General Surgery, People's Dental College and Hospital, Kathmandu, Nepal.

    ,

    Department of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

    Department of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

    Source

    Pub Type(s)

    Case Reports

    Language

    eng

    PubMed ID

    31198554

    Citation

    Shahi, Sudha, et al. "Rare Giant Maxillay Mucocele: a Rare Case Report and Literature Review." Annals of Medicine and Surgery (2012), vol. 43, 2019, pp. 68-71.
    Shahi S, Devkota A, Bhandari TR, et al. Rare giant maxillay mucocele: A rare case report and literature review. Ann Med Surg (Lond). 2019;43:68-71.
    Shahi, S., Devkota, A., Bhandari, T. R., Pantha, T., & Gautam, D. (2019). Rare giant maxillay mucocele: A rare case report and literature review. Annals of Medicine and Surgery (2012), 43, pp. 68-71. doi:10.1016/j.amsu.2019.05.013.
    Shahi S, et al. Rare Giant Maxillay Mucocele: a Rare Case Report and Literature Review. Ann Med Surg (Lond). 2019;43:68-71. PubMed PMID: 31198554.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Rare giant maxillay mucocele: A rare case report and literature review. AU - Shahi,Sudha, AU - Devkota,Anuj, AU - Bhandari,Tika Ram, AU - Pantha,Tridip, AU - Gautam,Dipendra, Y1 - 2019/06/01/ PY - 2019/01/23/received PY - 2019/05/07/revised PY - 2019/05/22/accepted PY - 2019/6/15/entrez PY - 2019/6/15/pubmed PY - 2019/6/15/medline KW - Cald well Luc KW - Maxillary sinus KW - Mucocele SP - 68 EP - 71 JF - Annals of medicine and surgery (2012) JO - Ann Med Surg (Lond) VL - 43 N2 - Introduction: Mucocele is a slow growing, benign but locally aggressive cystic structure lined by true epithelium. It often results due to obstructed sinus outflow or obstruction of gland-like mucous retention cyst. It can cause bony destruction and might result in orbital symptoms like diplopia, orbital displacement, visual disturbances. Other clinical features are facial numbness, dental problems, etc. Radiological evaluation is the preferred diagnostic modality. Surgical removal is the treatment of choice both endoscopic and open (could well luc) approach or combined approach are preferred. Here we report a very typical case of maxillary mucocele who presented with subtle symptoms of nasal obstruction. The study was done in compliance with SCARE guidelines.[1]. Case presentation: We present a very unique case of 24 years man with complaints of nasal obstruction and swelling over the right cheek for 2 years. He had a history of facial trauma two years back. Diagnosis was made on the basis of radiological examination CT (Computed Tomography) scan. He underwent enucleation via Cold well Luc's approach with good postoperative results. Conclusion: Maxillary mucoceles are slow growing benign lesions. However, they are locally aggressive and cause bony destruction resulting into orbital and dental symptoms. Thus early recognistion with regular folllowr up and planning for surgical intervention can help avoid complications. SN - 2049-0801 UR - https://www.unboundmedicine.com/medline/citation/31198554/Rare_giant_maxillay_mucocele:_A_rare_case_report_and_literature_review L2 - https://linkinghub.elsevier.com/retrieve/pii/S2049-0801(19)30048-2 DB - PRIME DP - Unbound Medicine ER -