Korean J Otorhinolaryngol-Head Neck Surg.  2010 Jan;53(1):57-59. 10.3342/kjorl-hns.2010.53.1.57.

Bilateral Maxillary Dentigerous Cysts in a Non-Syndromic Patient

Affiliations
  • 1Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. rhinokim2002@hanmail.net

Abstract

Dentigerous cysts are the most common type of developmental odontogenic cysts and the second most common odontogenic cyst of the jaw after radicular cysts. Dentigerous cysts are usually solitary, but can be multiple in patients with certain syndromes, such as mucopolysaccharidosis type IV. There are cases of multiple cysts occurring in non-syndromic patients as well. A fourteen-year-old girl presented to our department with painful swelling in the left cheek. Except for the bulging of the left nasal lateral wall, the physical examination was unremarkable and all routine laboratory test results were within normal limits. Computed tomography (CT) showed a well-defined soft tissue density obliterating both maxillary sinuses with a tooth in the medial wall. We removed the cyst and teeth with forceps via a large middle meatal antrostomy. The pathology revealed a non-keratinized squamous epithelial lined cyst associated with the teeth.

Keyword

Dentigerous cyst; Odontogenic cyst

MeSH Terms

Cheek
Dentigerous Cyst
Humans
Jaw
Maxillary Sinus
Mucopolysaccharidoses
Odontogenic Cysts
Physical Examination
Radicular Cyst
Surgical Instruments
Tooth
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