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Reminder of important clinical lesson
Maxillary sinus swelling in a child: clinical dilemma
  1. Rashmi Goyal1,
  2. Alok Kumar1,
  3. Dipti Saxena2,
  4. Rakesh Biswas3
  1. 1Department of ENT, People's College of Medical Sciences and Research Centre, Bhanpur Bypass, Bhopal, India
  2. 2Department of Oral and Maxillofacial Surgery, People's College of Medical Sciences and Research Centre, Bhopal, India
  3. 3Department of Medicine, People's College of Medical Sciences and Research Centre, Bhopal, India
  1. Correspondence to Rakesh Biswas, rakesh7biswas{at}gmail.com

Summary

A 7-year-old girl had presented with right cheek swelling noted 3 months earlier. It was slowly progressive. Swelling was well defined, non-tender, smooth, firm in consistency and measured 4×4 cm. Intraoral examination revealed no missing teeth. Permanent teeth – central incisors (upper and lower), primary lateral incisor, canine and first and second molar were present. X-ray paranasal sinuses showed well-defined unilocular radiolucency with a thin sclerotic border enclosing permanent first molar, premolar and canine on the right side and first molar on the left side. The cyst was removed by enucleation procedure. Mucoperiosteal flap was elevated, and paper thin bone overlying the cyst was removed. The cyst was enclosing the permanent canine, premolar and molar teeth. Histopathological report was consistent with the dentigerous cyst. After 1-year follow-up, the patient has no obvious swelling over the cheek.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.