Paranazal sinüs mukoselleri, sinüs ostiumunda tıkanmaya bağlı olarak oluşan, benign, içi mukusla dolu, kistik ve yavaş büyüyen lezyonlardır. En sık frontal ve etmoidal sinüslerde, nadiren de maksiller ve sfenoid sinüslerde görülmektedir. Mukosel olguları Caldwell-Luc operasyonu veya endoskopik sinüs cerrahisi ile tedavi edilebilmektedir. Atrofik üst çenelere, sinüs lift prosedürü ile implant planlandığında, maksiller sinüs mukoselinin preoperatif dönemde tedavi edilmesi komplikasyonların oluşumunu engellemesi bakımından önem taşımaktadır. Dental Volumetrik Tomografi (DVT) lezyonun sınırlarının belirlenmesinde ve preoperatif alanın özelliklerinin değerlendirilmesinde kullanılan önemli bir tanısal araçtır. Bu olguda, restoratif ve protetik tedavilerinin yapılması amacıyla kliniğimize başvuran 43 yaşındaki bayan hastanın panoramik radyografi ve dental volumetrik tomografi (DVT) değerlendirmeleri sonucunda, sol maksiller sinüs bölgesinde mukosel olduğu tespit edilmiştir. Patolojinin ayırıcı tanısı, cerrahi tedavisi ve postoperatif takip sonuçlarına da yer verilmiştir. Mukoselin ayırıcı tanısının yapılmasında DVT’nin önemli bir tanısal araç olduğu vurgulanmıştır. Ayrıca, bu olguyla, rutin cerrahi yöntemlerden farklı, modifiye cerrahi yaklaşım olan endolüminal sıvı boşaltılması tekniği ile sinüs lift işlemlerine hazırlık önerilmektedir. Araştırıcılar yeni önerilen tekniğin, cerrahi morbidite sayısının azalmasına izin verdiğini, yöntemin güvenli ve ön görülebilir olduğunu düşünmektedirler. Anahtar Kelimeler: Maksiler sinüs, mukosel, sinüs taban yükseltmesi A SINUS MUCOCEL RADIOGRAPHICALLY MIMICKING AN ODONTOGENIC NEOPLASM AND PREPARATION OF SINUS LIFT PROCEDURE: CASE REPORT ABSTRACT Paranasal sinus mucoceles are benign, mucus-filled, cystic and slow-growing lesions that develop due to occlusion in the sinus ostium. It is mostly observed in frontal and ethmoidal sinuses, rarely in maxillary and sphenoid sinuses. Mucoceles can be treated with Caldwell-Luc operation or endoscopic sinus surgery. In the atrophic upper jaws when the implant is planned with sinus lift procedure, preoperative treatment of maxillary sinus mucoceles is important in preventing complications. Dental Volumetric Tomography (DVT) is an important diagnostic tool which in the determination of lesion margins and used to evaluate the characteristics of preoperative area. In this case, a 43-year-old female patient who referred to our clinic for restorative and prosthetic treatment was found to have mucocele in the left maxillary sinus area as a result of panoramic radiography and dental volumetric tomography (DVT) evaluations. Differential diagnosis of the pathology, surgical treatment and postoperative follow-up results are also described. It was emphasized that DVT is an important diagnostic tool in the diagnosis of mucocele differential. In addition, it is suggested that sinus lift procedures should be prepared by, endoluminal fluid draining technique, which is a different, modified surgical approach than routine surgical methods with this case. The observers considered that the new proposed technique allowed the reduction of the surgical morbidity and also this technique safe and predictable. Keywords: Maxillary sinüs, mucocele, sinus floor augmentation
Paranasal sinus mucus is a benign, inner mucus-filled, cystic and slowly growing lesions that are formed due to confinement in the sinus osteoarthritis. It is most frequently found in frontal and etmoidal sinuses, and rarely also in scellars and sfenoid sinuses. The muscular phenomena can be treated by Caldwell-Luc surgery or endoscopic sinus surgery. When the atrophic upper necklaces are planned by the sinus lift procedure, it is important to prevent the formation of complications in the preoperative period of the treatment of the sinus mucosa. Dental Volumetric Tomography (DVT) is an important diagnostic tool used in determining the limits of the injury and assessing the characteristics of the preoperative area. In this case, the 43-year-old female patient, who applied to our clinic for restorative and prothetic therapies, was found to have a mucus in the sinus area as a result of panoramic radiography and dental volumetric tomography (DVT) assessments. The distinctive diagnosis of the pathology, the surgical treatment and the postoperative follow-up results are also included. In making the distinguishing diagnosis of the muscle, it is emphasized that DVT is an important diagnostic tool. In addition, with this fact, preparation for sinus lift procedures with endoluminal liquid discharge technique, which is a modified surgical approach, different from routine surgical methods, is recommended. The researchers believe that the newly proposed technique allows to reduce the number of surgical morbidities, the method is safe and predictable. A SINUS MUCOCEL RADIOGRAPHICALLY MIMICKING AN ODONTOGENIC NEOPLASM AND PREPARATION OF SINUS LIFT PROCEDURE: CASE REPORT ABSTRACT Paranal sinus mucoceles are benign, mucus-filled, cystic and slow-growing lesions that develop due to occlusion in the sinus ostium. It is mostly observed in frontal and ethmoidal sinuses, rarely in maxillary and sphenoid sinuses. Mucoceles can be treated with Caldwell-Luc surgery or endoscopic sinus surgery. In the atrophic upper jaws when the implant is planned with sinus lift procedure, preoperative treatment of maxillary sinus mucoceles is important in preventing complications. Dental Volumetric Tomography (DVT) is an important diagnostic tool which in the determination of lesion margins and used to evaluate the characteristics of the preoperative area. In this case, a 43-year-old female patient who referred to our clinic for restorative and prosthetic treatment was found to have mucocele in the left maxillary sinus area as a result of panoramic radiography and dental volumetric tomography (DVT) evaluations. Differential diagnosis of the pathology, surgical treatment and postoperative follow-up results are also described. It was emphasized that DVT is an important diagnostic tool in the diagnosis of mucocele differential. In addition, it is suggested that sinus lift procedures should be prepared by, endoluminal fluid draining technique, which is a different, modified surgical approach than routine surgical methods with this case. The observers considered that the new proposed technique allowed the reduction of the surgical morbidity and also this technique safe and predictable. Keywords: Maxillary sinus, mucocele, sinus floor augmentation
Dergi Türü : Ulusal
Benzer Makaleler | Yazar | # |
---|
Makale | Yazar | # |
---|