Selection of the optimal approach for the excision of the odontogenic cyst of the maxillary sinus

Usnunts A.R.

FSAEI HE Peoples’ Friendship University of Russia

Sysolyatin S.P.

FSAEI HE Peoples’ Friendship University of Russia;
Endostom Clinics LLC

Dvornikova T.A.

FSBI «Central Clinical Hospital with a Polyclinic» of the Administration of the President of the Russian Federation

Lebedeva A.A.

Central State Medical Academy

Selection of the optimal approach for the excision of the odontogenic cyst of the maxillary sinus

Authors:

Usnunts A.R., Sysolyatin S.P., Dvornikova T.A., Lebedeva A.A.

More about the authors

Journal: Russian Rhinology. 2023;31(1): 22‑26

DOI: 10.17116/rosrino20233101122

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To cite this article:

Usnunts AR, Sysolyatin SP, Dvornikova TA, Lebedeva AA. Selection of the optimal approach for the excision of the odontogenic cyst of the maxillary sinus. Russian Rhinology. 2023;31(1):22‑26. (In Russ.)
https://doi.org/10.17116/rosrino20233101122

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PATIENTS AND METHODS

54 patients were included into the study; they were divided into groups based on the presence or absence of the natural junction obstruction and the odontogenic cyst features according to computed tomography data. During the study, intranasal, transoral approaches, or their combination was used. The efficacy of surgical interventions used and the local status of patients during the first week of the postoperative period were accounted for. Data from histological studies of intraoperative biopsy specimens were also analyzed. 6 months later, the follow-up examination and cone-beam computed tomography of paranasal sinuses were conducted.

RESULTS

Complete recovery was confirmed in 51 patients out of 54 based on follow-up cone beam tomography scans. 2 patients managed with the intranasal approach had an incomplete excision of the ossified cyst wall. Sinusitis relapse with significant osteitis was observed in one case after the combined approach for the ossified cyst.

CONCLUSION

Main selection criteria for the approach in odontogenic cysts of the maxillary sinus include the condition of the natural junction, as well as features of the odontogenic cyst sac structure.

Keywords:

maxillary sinus

maxillary cysts

odontogenic cysts

approaches to the maxillary sinus

Authors:

Usnunts A.R.

FSAEI HE Peoples’ Friendship University of Russia

Sysolyatin S.P.

FSAEI HE Peoples’ Friendship University of Russia;
Endostom Clinics LLC

Dvornikova T.A.

FSBI «Central Clinical Hospital with a Polyclinic» of the Administration of the President of the Russian Federation

Lebedeva A.A.

Central State Medical Academy

Received:

28.02.2022

Accepted:

10.07.2022

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