Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2023.0011
Iberoamerican Journal of Medicine
Case Report

Maxillary sinus mucocele in a 20-year-old male: a case report of a rare occurrence

Mucocele de seno maxilar en un varón de 20 años: reporte de un caso de rara ocurrencia

Pavithra R, Sunita Gupta, Rizwan Hamid, Sujoy Ghosh

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Abstract

Mucocele of Maxillary sinus is a rare entity comprising 2-10% of all mucoceles and develops due to obstruction of drainage ostium. Here, we present a case of maxillary sinus mucocele in a 20-year-old male who presented with diffuse swelling on the left side of his face. Provisional diagnosis of mucocele was made on a computed tomography scan, which was later confirmed on histopathology. The lesion was managed surgically with uneventful healing at 2 weeks and 3 months follow-up.
Mucoceles are often misdiagnosed as cysts or tumours of odontogenic origin on the conventional radiograph. Delay in diagnosis can result in complications due to the expansion of mucocele towards adjacent structures such as the nose and orbit. Therefore, it becomes crucial to diagnose it appropriately with the help of higher imaging modalities so that it can be managed well in time.

Keywords

Maxillary sinus; Mucocele; Caldwell-Luc; Sinusectomy

Resumen

El mucocele del seno maxilar es una entidad rara que comprende el 2-10% de todos los mucoceles y se desarrolla debido a la obstrucción del ostium de drenaje. A continuación, presentamos un caso de mucocele del seno maxilar en un hombre de 20 años que presentó una inflamación difusa en el lado izquierdo de la cara. El diagnóstico provisional de mucocele se realizó en una tomografía computarizada, que luego se confirmó en la histopatología. La lesión se manejó quirúrgicamente con curación sin incidentes a las 2 semanas y 3 meses de seguimiento.
Los mucoceles a menudo se diagnostican erróneamente como quistes o tumores de origen odontogénico en la radiografía convencional. El retraso en el diagnóstico puede dar lugar a complicaciones debido a la expansión del mucocele hacia estructuras adyacentes como la nariz y la órbita. Por lo tanto, se vuelve crucial diagnosticarlo adecuadamente con la ayuda de modalidades de imágenes superiores para que pueda manejarse bien a tiempo.

Palabras clave

Seno maxilar; Mucocele; Caldwell-Luc; Sinisectomía

References

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Submitted date:
11/14/2022

Reviewed date:
02/22/2023

Accepted date:
03/07/2023

Publication date:
03/07/2023

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