비구개관낭과 동반된 상악동 내 콜레스테롤 육아종 1예
A Case of Nasopalatine Duct Cyst with Cholesterol Granuloma in Maxillary Sinus
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초록
Nasopalatine duct cysts are the most common non-odontogenic cysts that occur in the maxilla. Cholesterol granulomas, on the other hand, are commonly found in patients with chronic middleear disease, but rarely occur in the paranasal sinuses. We report a rare case of a 30-year-oldwoman who was treated for a nasopalatine duct cyst and cholesterol granuloma at the sametime. The patient complained of sudden nasolabial pressure and right nasal obstruction fromthree weeks ago. A 3 cm sized cystic mass, diagnosed as a nasopalatine duct cyst, was observedin the maxilla and haziness of the right maxillary sinus suspected of chronic rhinosinusitiswas detected by computerized tomography. Marsupialization of the nasopalatine duct cystwas performed through the endoscopic transnasal approach. Solid mass in the maxillary sinus,diagnosed with cholesterol granuloma by pathology after surgery, was completely removed byendoscopic sinus surgery. The patient was followed up for 18 months without any recurrence orcomplications.
Abstract
Nasopalatine duct cysts are the most common non-odontogenic cysts that occur in the maxilla. Cholesterol granulomas, on the other hand, are commonly found in patients with chronic middleear disease, but rarely occur in the paranasal sinuses. We report a rare case of a 30-year-oldwoman who was treated for a nasopalatine duct cyst and cholesterol granuloma at the sametime. The patient complained of sudden nasolabial pressure and right nasal obstruction fromthree weeks ago. A 3 cm sized cystic mass, diagnosed as a nasopalatine duct cyst, was observedin the maxilla and haziness of the right maxillary sinus suspected of chronic rhinosinusitiswas detected by computerized tomography. Marsupialization of the nasopalatine duct cystwas performed through the endoscopic transnasal approach. Solid mass in the maxillary sinus,diagnosed with cholesterol granuloma by pathology after surgery, was completely removed byendoscopic sinus surgery. The patient was followed up for 18 months without any recurrence orcomplications.
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