Dentigerous Cyst over Maxillary Sinus: A Case Report and Literature Review

上顎竇之含牙囊腫：病例報告與文獻回顧

王峙仁(Chih-Jen Wang) ； 黃寶賢(Po-Hsien Huang) ； 王銀來(Yin-Lai Wang) ； 邢憶春(Yih-Chung Shyng) ； 高文斌(Wen-Bin Kao)

《臺灣口腔顎面外科學會雜誌》 20卷2期 (2009/06) Pp. 116-124

https://doi.org/10.7104/TJOMS.200906.0116

摘要

含牙囊腫是一種常見於上下顎阻生齒周圍發育異常的齒源性囊腫。由於通常並無症狀，故患者常因爲牙齒延遲萌發，於接受放射檢查時而發現。然而，此囊腫若持續擴大，侵犯擠壓到鄰近組織，便可能產生不適。腫大與疼痛是大多數病人的主要抱怨的症狀，但含牙囊腫鮮少引起頭頸部發炎或感染。本文提出一位20歲男性因右上顎第三大臼齒侵犯上顎竇導致鼻竇炎的個案報告，同時藉由回顧文獻，討論對於含牙囊腫與其他齒源性囊腫的鑑別診斷。

關鍵字

含牙囊腫 ； 鼻竇炎 ； 上顎

並列摘要

Dentigerous cyst (DC) is a common odontogenic cyst developed abnormally around unerupted maxillary or mandibular teeth. It is often asymptomatic and can be found incidentally on dental radiography with delayed eruption of teeth. However, it can be large and cause symptoms related to expansion and impingement on contiguous structures. Pain and swelling may be the major complains of patients. However, DC seldom caused head and neck inflammation or infection. Here, we described a 20-year-old male, who was found of a DC arising from right maxillary third molar involved the maxillary sinus and with sinusitis. We also reviewed articles to discuss the differential diagnosis of DC from other odontogenic cysts or odontogenic tumors.

並列關鍵字

dentigerous cyst ； sinusitis ； maxilla