Odontogenic Cyst of Maxilla Presenting as Chronic Paranasal Sinusitis: A Case Report

上頷骨之齒源性囊腫以慢性副鼻竇炎表現：一病例報告

廖倩聆(Chian‐Ling Liaw) ； 蔡銘修(Ming‐Hsui Tsai)

《Mid-Taiwan Journal of Medicine》 3卷4期 (1998/12) Pp. 256-259

https://doi.org/10.6558/MTJM.1998.3(4).11

摘要

一般X光片（例如鼻竇常規檢查）在篩檢鼻竇疾病方面是一個簡單、便宜而被廣泛使用的方法。然而在確定病因及疾病嚴重度的判定上，它的敏感度及特異性並不是令人非常滿意。我們報告一例上頷骨齒源性囊腫伴隨同側上頷竇炎的病例，此36歲男性病患在4年前曾接受經鼻內視鏡手術，然而此囊腫在當時被忽略，之後並造成上頷骨變形。藉此病例可提醒我們，單靠一般X光片來診斷鼻竇的病灶是不夠的，當普通的X光片不能提供足夠的訊息時，應該安排電腦斷層掃描做進一步檢查。除此之外，在上頷竇病灶的致病因中，齒源性的疾病常常是一個容易被忽略的原因。

關鍵字

齒源性囊腫 ； 鼻竇炎

並列摘要

Roentgenography such as a sinus routine series is a simple and inexpensive method widely used in screening paranasal sinus diseases. However, the sensitivity and specificity of a plain film to confirm the etiology and severity of paranasal sinus diseases are not satisfactory. In this paper, we present a case of odontogenic cyst accompanied with ipsilateral maxillary sinusitis. Our case was a 36-year-old man who received a transnasal, endoscopic sinus surgery four years ago. However, a cyst at the maxillary floor was overlooked during that procedure and maxilla deformity ensued. This reminds us that only using a plain film is not sufficient enough to diagnose sinus diseases. We recommend that computed tomography should be performed when conventional radiography does not provide sufficient information. Furthermore, we would like to emphasize that an odontogenic disease may be an easily unrecognized cause of a maxillary sinus lesion.

並列關鍵字

odontogenic cyst ； paranasal sinusitis