Abstract
Mucosal maxillary cysts (MMCs) are usually asymptomatic and are often diagnosed as an incidental finding. The aim of this study is to assess clinical significance of MMCs and the long-term effect of surgical treatment on the symptoms initially addressed to MMCs. The study included a retrospective analysis of 64 patients who had undergone surgery for MMC using a questionnaire focused mainly on the effect surgery had on symptoms. Mean time of follow-up was 79 months. Patients were also divided and compared according to the presence of rhinitic symptoms. Twenty-six patients (63.4 %) reported complete disappearance of symptoms, 8 (19.5 %) reported improvement, 4 (9.7 %) reported no change in symptoms following surgery and 3 (7.3 %) reported that symptoms reappeared. Significantly (p = 0.0365) better results were achieved in patients without preexisting rhinitic symptoms. This study supports the opinion that in some cases, MMCs are involved in the development of sinonasal symptoms. Surgical treatment leads, in most patients, to disappearance or improvement of symptoms and the effect is better in patients without rhinitic symptoms.
Similar content being viewed by others
References
Moon IJ, Lee JE, Kim ST, Han DH, Rhee CS, Lee CH, Min YG (2011) Characteristics and risk factors of mucosal cysts in the paranasal sinuses. Rhinology 49:309–314
Kanagalingam J, Bhatia K, Georgalas C, Fokkens W, Miszkiel K, Lund VJ (2009) Maxillary mucosal cyst is not a manifestation of rhinosinusitis: results of a prospective three-dimensional CT study of ophtalmic patients. Laryngoscope 119:8–12
Rodrigues CD, Freire GF, Silva LB, Fonseca da Silveira MM, Estrela C (2009) Prevalence and risk factors of mucous retention cysts in a Brazilian population. Dentomaxillofac Radiol 38:480–483
Bhattacharyya N (2000) Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Arch Otolaryngol Head Neck Surg 126:1369–1371
Harar RP, Chadha NK, Rogers G (2007) Are the maxillary mucosal cyst a manifestation of inflammatory diseases? J Laryngol Otol 121:751–754
Kaffe I, Littner MM, Mosksona D (2008) Mucosal antral cysts: radiographic appearance and differential diagnosis. Clin Prev Dent 10:3–6
Hadar T, Shvero J, Nageris BI, Yaniv E (2000) Mucus retention cyst of the maxillary sinus: the endoscopic approach. Br J Oral Maxillofac Surg 38:227–229
Rhodus NL (1990) The prevalence and clinical significance of maxillary mucous retention cysts in a general clinic population. Ear Nose Throat J 69:82–87
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
Moon IJ, Kim SW, Han DH, Shin JM, Rhee CS, Lee CH, Min YG (2011) Mucosal cyst in the paranasal sinuses: long-term follow-up and clinical implications. Am J Rhinol Allergy 25:98–102
Albu S (2010) Symptomatic maxillary sinus retention cysts: should they be removed? Laryngoscope 120:1904–1909
Frosini P, Picarella G, De Campora E (2009) Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 29:21–26
Yaman H, Yilmaz S, Karali E, Guclu E, Ozturk O (2010) Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 3:110–114
Sousa DW, Pinheiro SD, Silva VC, Bastos JP (2011) Bilateral antrochoanal polyps in an adult. Braz J Otorhinolaryngol 4:539
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schalek, P., Otruba, L., Hornáčková, Z. et al. Mucosal maxillary cysts: long-term subjective outcomes after surgical treatment. Eur Arch Otorhinolaryngol 270, 2263–2266 (2013). https://doi.org/10.1007/s00405-013-2355-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-013-2355-x