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Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT)

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Abstract

Objectives

The purpose of the present study was to evaluate the frequency, locations, and dimensions of mucous retention cysts of the maxillary sinus and analyze potential associated dental pathology.

Materials and methods

A total of 156 cone beam computed tomography (CBCT) scans were included in the analysis, resulting in an evaluation of 310 maxillary sinuses. The presence of mucous retention cysts (MRC) manifesting as dome-shaped radiopacities in the sinus was diagnosed. Their locations were recorded, and dimensions (mm) were measured in coronal and sagittal/axial slices. The patients were grouped into (a) patients/sinuses with MRCs (test), and (b) patients/sinuses with healthy or any other changes (control) for further comparison and evaluation.

Results

There were 40 sinuses (12.9%) with a presence of a total of 56 MRCs. The mean age of involved patients was 29.0 years. The analysis showed that gender, age, sinus side, status of dentition, endodontic status, and periodontal status did not have a significant influence on the presence of MRCs when compared between test and control groups. Age and endodontic status exhibited a significant association with cyst location.

Conclusions

Most of the sinuses analyzed (79.5%) did not present any MRC, and only 28.6% of the cysts diagnosed were found on the floor of the maxillary sinus. The mean dimension of the MRCs measured 6.28 ± 2.93 mm. No influencing factors on the presence or absence of MRCs were found in the present study.

Clinical relevance

Most MRCs were not located on the floor of maxillary sinus. Future studies should assess their impact on surgical interventions in the sinus.

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References

  1. Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM (2014) Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: a systematic review. Int J Oral Maxillofac Implants 29:1301–1314

    Article  PubMed  Google Scholar 

  2. Benavides E, Rios HF, Ganz SD, An C-H, Resnik R, Reardon GT, Feldman SJ, Mah JK, Hatcher D, Kim M-J (2012) Use of cone beam computed tomography in implant dentistry: the International Congress of Oral Implantologists consensus report. Implant Dent 21:78–86

    Article  PubMed  Google Scholar 

  3. Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R (2014) Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants 29:55–77

    Article  PubMed  Google Scholar 

  4. Harris D, Horner K, Gröndahl K, Jacobs R, Helmrot E, Benic GI, Bornstein MM, Dawood A, Quirynen M (2012) EAO guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res 23:1243–1253

    Article  PubMed  Google Scholar 

  5. Rigolone M, Pasqualini D, Bianchi L, Berutti E, Bianchi SD (2003) Vestibular surgical access to the palatine root of the superior first molar: “low-dose cone-beam” CT analysis of the pathway and its anatomic variations. J Endod 29:773–775

    Article  PubMed  Google Scholar 

  6. Kusnoto B, Kaur P, Salem A, Zhang Z, Galang-Boquiren MT, Viana G, Evans CA, Manasse R, Monahan R, BeGole E (2015) Implementation of ultra-low-dose CBCT for routine 2D orthodontic diagnostic radiographs: cephalometric landmark identification and image quality assessment. Semin Orthod 21:233–247

    Article  Google Scholar 

  7. Chindasombatjaroen J, Poomsawat S, Klongnoi B (2012) Calcifying cystic odontogenic tumor associated with other lesions: case report with cone-beam computed tomography findings. Oral Surg Oral Med Oral Pathol Oral Radiol 113:414–420

    Article  PubMed  Google Scholar 

  8. Rege ICC, Sousa TO, Leles CR, Mendonça EF (2012) Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 12:30

    Article  PubMed  PubMed Central  Google Scholar 

  9. Gardner DG (1984) Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 58:561–567

    Article  PubMed  Google Scholar 

  10. MacDonald-Jankowski D (1993) Mucosal antral cysts in a Chinese population. Dentomaxillofac Radiol 22:208–210

    Article  PubMed  Google Scholar 

  11. MacDonald-Jankowski D (1994) Mucosal antral cysts observed within a London inner-city population. Clin Radiol 49:195–198

    Article  PubMed  Google Scholar 

  12. Rodrigues C, Freire G, Silva L, da Silveira MF, Estrela C (2014) Prevalence and risk factors of mucous retention cysts in a Brazilian population. Dentomaxillofac Radiol 38:480–483

    Article  Google Scholar 

  13. Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A (2010) Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the health 2000 health examination survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:e80–e87

    Article  PubMed  Google Scholar 

  14. Jones N, Strobl A, Holland I (1997) A study of the CT findings in 100 patients with rhinosinusitis and 100 controls. Clin Otolaryngol Allied Sci 22:47–51

    Article  PubMed  Google Scholar 

  15. Çaglayan F, Tozoglu Ü (2012) Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol 18:159–163

    PubMed  Google Scholar 

  16. Kang B-C, Yoon S-J, Lee J-S, Al-Rawi W, Palomo JM (2011) The use of cone beam computed tomography for the evaluation of pathology, developmental anomalies and traumatic injuries relevant to orthodontics. Semin Orthod 17:20–33

    Article  Google Scholar 

  17. Pelinsari Lana J, Moura Rodrigues Carneiro P, de Carvalho MV, Eduardo Alencar de Souza P, Ricardo Manzi F, Campolina Rebello Horta M (2012) Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 23:1398–1403

    Article  Google Scholar 

  18. Hauman C, Chandler N, Tong D (2002) Endodontic implications of the maxillary sinus: a review. Int Endod J 35:127–141

    Article  PubMed  Google Scholar 

  19. Moskow BS (1992) A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa. J Periodontol 63:674–681

    Article  PubMed  Google Scholar 

  20. Nascimento EHL, Pontual MLA, Pontual AA, Freitas DQ, Perez DEC, Ramos-Perez FM (2016) Association between odontogenic conditions and maxillary sinus disease: a study using cone-beam computed tomography. J Endod 42:1509–1515

    Article  PubMed  Google Scholar 

  21. Bornstein MM, Horner K, Jacobs R (2017) Use of cone beam computed tomography in implant dentistry: current concepts, indications and limitations for clinical practice and research. Periodontol 2000 73:51–72

    Article  PubMed  Google Scholar 

  22. Schneider AC, Brägger U, Sendi P, Caversaccio MD, Buser D, Bornstein MM (2013) Characteristics and dimensions of the sinus membrane in patients referred for single-implant treatment in the posterior maxilla: a cone beam computed tomographic analysis. Int J Oral Maxillofac Implants 28:587–596

    Article  PubMed  Google Scholar 

  23. Soikkonen K, Ainamo A (1995) Radiographic maxillary sinus findings in the elderly. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80:487–491

    Article  PubMed  Google Scholar 

  24. Mancl LA, Leroux B, DeRouen T (2000) Between-subject and within-subject statistical information in dental research. J Dent Res 79:1778–1781

    Article  PubMed  Google Scholar 

  25. Fleiss JL, Levin B, Paik MC (2013) Statistical methods for rates and proportions, 3rd edn. John Wiley & Sons, New Jersey

    Google Scholar 

  26. Wang JH, Jang YJ, Lee BJ (2007) Natural course of retention cysts of the maxillary sinus: long-term follow-up results. Laryngoscope 117:341–344

    Article  PubMed  Google Scholar 

  27. Patel S, Durack C, Abella F, Roig M, Shemesh H, Lambrechts P, Lemberg K (2014) European Society of Endodontology position statement: the use of CBCT in endodontics. Int Endod J 47:502–504

    Article  PubMed  Google Scholar 

  28. Mardinger O, Manor I, Mijiritsky E, Hirshberg A (2007) Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:180–184

    Article  PubMed  Google Scholar 

  29. Towbin R, Dunbar J, Bove K (1979) Antrochoanal polyps. AJR Am J Roentgenol 132:27–31

    Article  PubMed  Google Scholar 

  30. Pikos MA (2008) Maxillary sinus membrane repair: update on technique for large and complete perforations. Implant Dent 17:24–31

    Article  PubMed  Google Scholar 

  31. Maiorana C, Beretta M, Benigni M, Cicciù M, Stoffella E, Grossi G (2012) Sinus lift procedure in presence of mucosal cyst: a clinical prospective study. JIACD 4:54–60

    Google Scholar 

  32. Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J (2008) Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 19:1285–1289

    Article  PubMed  Google Scholar 

  33. Weitz DS, Geminiani A, Papadimitriou DE, Ercoli C, Caton JG (2014) The incidence of membrane perforation during sinus floor elevation using sonic instruments: a series of 40 cases. Int J Periodontics Restor Dent 34:105–112

    Article  Google Scholar 

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Acknowledgements

The authors are grateful to Ms. Kar Yan Li, Centralized Research Lab, Faculty of Dentistry, The University of Hong Kong, for her valuable assistance regarding the statistical analysis.

Funding

This study has been funded by departmental funds only. No external funding has been received.

Author information

Authors and Affiliations

  1. Oral and Maxillofacial Radiology, Applied Oral Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, SAR, China

    Andy Wai Kan Yeung, Ray Tanaka & Michael M. Bornstein

  2. Department of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China

    Pek-Lan Khong

  3. Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland

    Thomas von Arx

Authors
  1. Andy Wai Kan Yeung
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  2. Ray Tanaka
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  3. Pek-Lan Khong
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  5. Michael M. Bornstein
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Corresponding author

Correspondence to Michael M. Bornstein.

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Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was submitted to and approved by the local institutional review board (IRB) of the University of Hong Kong / Hospital Authority Hong Kong West Cluster (approval number UW 16–495).

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For this type of study (retrospective study), formal consent is not required.

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Yeung, A.W.K., Tanaka, R., Khong, PL. et al. Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT). Clin Oral Invest 22, 1175–1183 (2018). https://doi.org/10.1007/s00784-017-2206-z

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  • DOI: https://doi.org/10.1007/s00784-017-2206-z

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