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Severe facial pain and removal of maxillary sinus mucous retention cyst
  1. Matija Bozovičar1 and
  2. Marko Božič2,3
  1. 1Dentist, MB2 zobozdravstvena dejavnost, Matija Bozovičar s.p, Škofja Loka, Slovenia
  2. 2Surgery, OMF kirurgija Marko Božič, s.p, Celje, Slovenia
  3. 3Medicinska fakulteta, Univerza v Mariboru, Maribor, Slovenia
  1. Correspondence to Dr Marko Božič; marko.bozic{at}omfkirurgija.com

Abstract

Maxillary sinus retention cysts (MRCs) are typically asymptomatic and require no treatment. An early 30s man presented with a decade-long history of severe left-sided chronic facial pain (CFP). Multiple prior treatments resulted in an edentulous patient with persistent pain. Imaging revealed a dome-shaped radiopaque change in the left maxillary sinus. History and clinical examination suggested persistent idiopathic facial pain, and doubts about the outcome of a surgical intervention were explained to the patient. Surgical removal of the MRC via lateral antrotomy led to complete symptom resolution of CFP. This case substantiates the importance of considering MRCs as a possible cause of CFP. It also emphasises the need for a systematic multidisciplinary approach in cases of unexplained CFP.

  • Oral and maxillofacial surgery
  • Otolaryngology / ENT

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: MB and MB. The following authors gave final approval of the manuscript: MB and MB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.