Giant follicular cysts extended in pterygo-maxillary fossa, antro-naso-ethmoidal and orbital space associated to exophtalmos and diplopia in young patients

Bernardi, Sara; Scarsella, S.; Fabio, Desiderio Di; Oliva, Antonio Giancarlo; Girolamo, Mattia Di; Continenza, Maria Adelaide; Cutilli, T

doi:10.1016/j.omsc.2018.02.002

Cited by 7 publications

(7 citation statements)

References 9 publications

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“…Magnification systems are used daily in dental practice, especially in endodontics and microsurgery interventions [22,23]. The advantages of using a magnification system include the amplification of the smallest details, greater versatility in image magnification, visualization of the working field, better lighting, and a better working posture.…”

Section: Discussionmentioning

confidence: 99%

Debonding and Clean-Up in Orthodontics: Evaluation of Different Techniques and Micro-Morphological Aspects of the Enamel Surface

et al. 2020

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There is currently no consensus on the best way to remove adhesive remnants from teeth following debonding. The main objective of this study is to evaluate and compare the effectiveness of four adhesive resin removal (clean-up) techniques, performed with or without the use of an operative microscope. Forty human teeth were duplicated using an epoxy resin for impregnation. Brackets were bonded to teeth and debonded from teeth. Then, the samples were randomly divided into two equal groups—the naked eye group and the magnification group—and further subdivided into four equal subgroups, in order to compare the different techniques used for the clean-up. Each subgroup was formed of five natural teeth with the respective pre- and post-bonding replicas. Macro- and micro-analysis by means of a stereomicroscope and scanning electron microscopy evaluated, qualitatively and quantitatively, the adhesive remnant index and the damage index of the enamel. Overall, the magnification improved the removal of resins compared to the naked eye (p < 0.001), and the use of magnification constantly reduced resin residual and surface damage. Enamel damage and adhesive residual from the clean-up procedures represent an ascertained risk in orthodontics. The use of a magnification system improves the quality of debonding and clean-up techniques in a significant way.

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Section: Discussionmentioning

confidence: 99%

Debonding and Clean-Up in Orthodontics: Evaluation of Different Techniques and Micro-Morphological Aspects of the Enamel Surface

et al. 2020

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“…Case of Emanuelli et al 27 showed that it can be problematic, during the endoscopic surgery, to remove lateral sclerotic wall of the cyst. Two cases of Bernardi et al 38 successfully implemented both microscopic and endoscopic support for the traditional Caldwell-Luc surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, cystic expansion into the nasal cavity, the pterygo-maxillary area, the ethmoidal and the orbital regions can cause morphological, functional, nervous and inflammatory complications. 38 Among 6 published cases with nasolacrimal duct obstruction caused by dentigerous cysts, in 4 cases the cysts originated from canines, in one case was not established the tooth number which was turned by the crown into the cavity of the cyst, and in another one the dentigerous cyst has arisen around the supernumerary tooth. [8][9][10][11][12] In contrast to the cysts on the mandible where they grow mesiodistally, 39 on the maxilla they easily prolapsed into maxillary sinus where they can asymptomatically reach gigantic sizes.…”

Section: Discussionmentioning

confidence: 99%

Gigantic Dentigerous Cysts Associated with the Ectopic/Impacted Upper Third Molars: Computed Tomography Analysis of Nasolacrimal Duct and Osteomeatal Complex Obstructions and Review of Literature

Babkina,

Shekera,

Storozhchuk

et al. 2020

J. Diagn. Treat. Oral Maxillofac. Pathol.

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We report the cases with giant dentigerous cysts (synonym: follicular cysts) of the maxillary sinus which caused ophthalmologic, neurologic, and nasal disturbances. Case 1: A 44-year-old female with osteomeatal complex obstruction and severe headaches due to giant dentigerous cyst associated with impacted upper left wisdom tooth. An air-fluid level and middle turbinate compression with intact lower turbinate became the characteristic features of the case which reviewed in the publications. Case 2: A 60-year-old woman with complete acquired nasolacrimal duct and osteomeatal complex obstruction due to gigantic dentigerous cyst. It’s a first ever reported case when the cyst originated from ectopic upper third molar and led to the permanent left eye epiphora and left side nasal obstruction. In both cases the consecutive pre-operative cone-beam computed tomography is presented and comparison of attenuation coefficient of the cystic content is analyzed.Management of the cases is described, surgical techniques and literature is reviewed; 1-year follow-up period is highlighted.

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“…Precisely for these reasons, an early diagnosis is fundamental to avoid the development of a giant follicular cysts in the maxilla that needs an accurate preoperative study, in relation, also, to the delicate nature of the inner biomorphology of the structures usually involved [14], [15].…”

Section: Pathologicalmentioning

confidence: 99%

“…Only few cases of giant follicular cyst involving the maxillary sinus and the pterygomaxillary space have been reported in the international literature, and also for these reasons, the proper diagnostic and therapeutic approach remains controversial [14], [15].…”

Section: Pathologicalmentioning

confidence: 99%

Large Follicular Cyst Associated with Upper Third Molar in the Maxillary Sinus with Pterygomaxillary Space Extension: Reflection on a Case Report

Faro

Santillo

Giudice

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Follicular cysts are osteolytic lesions characterized by greater growth, differentiation, and degeneration potentials, compared to inflammatory root cysts. Those connected to upper third molars can disrupt the neighboring teeth and extend to maxillary sinus and adjacent anatomical structures. CASE PRESENTATION: In this study, we present a case of a large dimension follicular cyst associated with the upper third molar, extended to maxillary antrum and pterygomaxillary space, uncommon for dimensions, involving meso- and sovra-structure describing the clinical diagnostic procedures, and the surgical strategies adopted. The cone-beam computed tomography allowed a very accurate analysis of the lesion. Surgical excision was performed through Caldwell-Luc technique, approaching to the pterygomaxillary space. A 1-year follow-up shows good clinical, anatomical, and functional conditions. Histological examination confirmed the diagnosis of follicular cyst. CONCLUSION: Giant follicular cysts require an accurate pre-operative study due to the delicate structures that may be involved.

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Giant follicular cysts extended in pterygo-maxillary fossa, antro-naso-ethmoidal and orbital space associated to exophtalmos and diplopia in young patients

Cited by 7 publications

References 9 publications

Debonding and Clean-Up in Orthodontics: Evaluation of Different Techniques and Micro-Morphological Aspects of the Enamel Surface

Debonding and Clean-Up in Orthodontics: Evaluation of Different Techniques and Micro-Morphological Aspects of the Enamel Surface

Gigantic Dentigerous Cysts Associated with the Ectopic/Impacted Upper Third Molars: Computed Tomography Analysis of Nasolacrimal Duct and Osteomeatal Complex Obstructions and Review of Literature

Large Follicular Cyst Associated with Upper Third Molar in the Maxillary Sinus with Pterygomaxillary Space Extension: Reflection on a Case Report

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