Idiopathic mucocele of maxillary sinus_ a rare and frequently misdiagnosed entity sadhoo a, tuli ip, sharma n – j oral maxillofac radiol

Maxillary sinus mucocele is an unusual uncommon benign lesion which develops due to retained secretions and presents as an expansile cystic lesion. Colonoscopy findings Presenting symptoms are nonspecific and mostly due to pressure effects on the orbit or facial deformity. Colonoscopy definition Etiology of such mucoceles is not well understood, and it is postulated that they ensue due to obstruction of the ostium by inflammation or previous procedures such as Caldwell-Luc surgery.


Bronchoscopy definition De novo origins are rare causing unnecessary investigations and delayed diagnosis and treatment. Colonoscopy perforation Endoscopic marsupialization of the mucocele is the surgery of choice, even though complicated cases maybe approached by an external route. Bronchoscopy results We present a case of right maxillary mucocele without an identifiable cause, which is reported due to its rarity and delayed management.

How to cite this article: Sadhoo A, Tuli IP, Sharma N. Colonoscopy complications symptoms Idiopathic mucocele of maxillary sinus: A rare and frequently misdiagnosed entity. Post colonoscopy side effects J Oral Maxillofac Radiol 2016;4:87-9

How to cite this URL: Sadhoo A, Tuli IP, Sharma N. Endoscopy medical definition Idiopathic mucocele of maxillary sinus: A rare and frequently misdiagnosed entity. Bronchoscopy risks J Oral Maxillofac Radiol [serial online] 2016 [cited 2017 Jan 31];4:87-9. Colonoscopy preparation tips Available from: http://www.joomr.org/text.asp?2016/4/3/87/196360

Mucocoele of the paranasal sinus is an epithelial lined, mucus containing sac that can fill the sinus completely and is capable of expansion. Colonoscopy polyps found The frontoethmoid sinuses (89%) are the most commonly affected and the maxillary sinus (1%) the least. Endoscopy biopsy [1] They arise consequent to obstruction of the ostium and inflammation due to previous surgery or trauma of the paranasal sinuses. Colonoscopy complications [1], [2] In one-third of the cases, mucoceles are idiopathic in origin. Bronchoscopy with biopsy [2] Here, we report a case of right maxillary mucocele with no apparent cause, leading to its initial misdiagnosis, and thus, delayed management.

A 44-year-old diabetic male presented to our Ear, Nose, Throat outpatient department with a 2-month history of a slow growing, right-sided facial swelling and dull pain. Endoscopy biopsy results The swelling had appeared insidiously, was intially small that gradually grew to its present size, and was accompanied with a dull localized pain that was not relieved by medication. Bronchoscopy procedure There was no history of nasal obstruction or discharge, loosening of teeth, epiphora, hyposmia or anosmia, trismus, or fever.

The patient was conservatively treated, initially by a dentist with oral antibiotics and anti-inflammatory drugs. Bronchoscopy with bal He was then referred to an otolarynologist who performed a sublabial biopsy when the symptoms did not abate. Ebus bronchoscopy Histopathology report suggested a nonmalignant lesion, for which he was referred to a higher centre for further evaluation. What is bronchoscopy The patient was subjected to another transnasal endoscopic biopsy (details of which are not available), and the histopathology was inconclusive. Fibre optic bronchoscopy Thereafter, the patient reported to us.

Local examination revealed a right-sided, firm, nontender diffuse swelling 3 × 3 cm in size, which extended from the infraorbital region to the angle of mouth and lateral border of the nose to the zygomatic arch. Colonoscopy video youtube The surface temperature was not raised. What is a bronchoscopy A right-sided palatal buldge was present from the right upper lateral incisor anteriorly to the second premolar posteriorly [Figure 1].

Figure 1: This photograph of the patient shows the right‑sided maxillary swelling (red arrow) and right‑sided intraoral bulge (black arrow) taken at the time of presentation to us

Diagnostic nasal endoscopy of the right nasal cavity showed a blocked osteomeatal complex. Colonoscopy deaths per year The lateral wall of nose was buldging towards the septum, completely occluding the right nasal passage. Bronchoscopy test Rest of the otolaryngological, ophthalmological, dental examinations, and general physical examination were unremarkable.

A fine-needle aspiration (FNA) from the sublabial route showed low cellularity with focal collections of acute and chronic inflammatory cells, cystic macrophages, but no evidence of neoplastic pathology.

Contrast-enhanced computed tomography (CECT) of the nose and paranasal sinus demonstrated large expansile homogenous mass with no peripheral enhancement, involving the right maxillary sinus pushing its medial wall medially and occluding the right nasal cavity. Bronchoscopy biopsy There was mucosal thickening with compression of nasal septum and inferior and middle turbinate [Figure 2].

Figure 2: This CECT of the nose and paranasal sinuses, axial cut demonstratesthe presence of the large, expansile nonenhancing mass involving the right maxillary sinus and nasal cavity pushing the septum to the left side

Based on clinical, endoscopic, and radiological features a provisional diagnosis of a cystic lesion of right maxillay sinus was made and planned for endoscopic marsupialization and biopsy under general anesthesia. Bronchoscopy complications Right-sided uncinectomy was done. Post colonoscopy instructions The bony buldge of the middle meatal region was removed and a wide middle meatal antrostomy was done. Bronchoscopy images Mucoid fluid within the sinus was suctioned, and the thin-walled cyst was marsupialized. Post colonoscopy care Patient had complete regression of the cheek swelling within 7 days and the palatal buldge in 10 days. How long does a bronchoscopy take Histopathology of the cyst wall confirmed our diagnosis of mucocele demonstrating an exudate of neutrophils and macrophages, enmeshed in fibrin, with foci of hemorrhage and lined with pseudostratified columnar epithelium. Bronchoscopy video The patient was followed over a period of 6 months and is presently asymptomatic.

Mucoceles result from an obstruction of the sinus ostia and drainage pattern, with accumulation of mucus within the sinus cavity. Bronchoscopy indications Continual accumulation causes it to expand from the pressure. Colonoscopy procedure code Maxillary sinus mucoceles are exceptional, with an incidence of 3-10% worldwide. Colonoscopy surgery They are usually sterile and painless with pain indicating infection. Colonoscopy deaths [1], [3] Our patient had sought an early medical opinion because of pain.

Obstruction of the sinus ostium has been suggested as the primary etiologic factor. Colonoscopy biopsy results This may be due to a mass lesion, inflammation and fibrosis, osteoma, fibrous dysplasia, Paget’s disease, malignancy, trauma, or previous surgery. Colonoscopy aftercare [1], [3] In this case, the patient had no precipitating factor for the development of mucoceles, which led to unnecessary biopsies and delayed management.

Expansion occurs through the direct effect of positive pressure within the mucocele. Colonoscopy findings Local production of bone resorption factors such as prostaglandins, interleukin-1, and tumor necrosis factor have also been identified at the interface between the mucocele and bone. Colonoscopy definition These may cause intraorbital or intracranial extension. Bronchoscopy definition [4], [5], [6]

CT is the preferred imaging modality where mucocele appears as an expanded, airless sinus filled with homogeneous material. Colonoscopy perforation The walls of the sinus may be either normal or remodelled, with thickening, thinning and erosion to various degrees often within the same sinus. Bronchoscopy results The distinction between a mucocele and a mucous retention cyst can be made by the presence of air outlining the upper surface of the retention cyst. Colonoscopy complications symptoms [3], [7] Hence, a good radiological examination with a high degree of suspicion is an invaluable tool for early diagnosis of this condition.

Endonasal endoscopic approach is the preferred treatment in paranasal sinus mucoceles with the advantages of a minimally invasive surgery. Post colonoscopy side effects [2], [8] Martel et al. Endoscopy medical definition analyzed 58 patients of paranasal sinus mucoceles and found that recurrence rate was lesser in patients treated endoscopically (4.8%) than those treated by an external approach (28.5%). Bronchoscopy risks [8] We performed an endoscopic marsupialization to promote the normal function of secretion and drainage, prevent damage to normal mucocillary clearance, and avoid external scar, disturbance of trochlea, and supraorbital paresthesia.

Thus, we believe that, to evaluate any sinonasal mass, a thorough clinical, radiological, and endoscopic correlation is mandatory to reach to an early diagnosis and not suspect malignancy in the first look. Colonoscopy preparation tips This shall obviate the need for superfluous invasive procedures and protracted treatment time, as happened in the reported case.