ABSTRACT
El mucocele es un tumor pseudoquístico poco frecuente en el seno maxilar y una rara complicación de la cirugía ortognática. El caso reportado describe la presentación de un mucocele que afecta parcialmente el seno maxilar y se presenta clínicamente como un tumor nasal. Se trata de una mujer de 44 años que, luego de 12 años de realizarse cirugías ortognáticas, presenta dolor facial y obstrucción de la fosa nasal derecha. La tomografía axial computarizada de senos paranasales revela una masa de contenido líquido que ocupa la mitad inferior del seno maxilar derecho, extendiéndose a la fosa nasal ipsilateral. La paciente es intervenida por vía endoscópica realizándose una marsupialización intranasal y meatotomía media, evolucionando satisfactoriamente en un seguimiento de dos años.
Mucoceles are not often found in the maxillary sinus, and is a rare surgery complication, in this case, orthognathic. This review describes a mucocele that partially occupies the right maxillary sinus, causing a chronic nasal obstruction. This is the case of a 44 year-old female patient, which after 12 years of several orthognathic surgeries, presents facial pain and right nasal obstruction. The paranasal sinus computed tomography reveals a mass with liquid content that occupies the lower part of the right maxillary sinus and compromises the right nasal cavity. The patient was treated with an intranasal marsupialization and a middle meatotomy with endoscopic nasal approach. Evolution was satisfactory two years after the intervention.
Subject(s)
Humans , Female , Adult , Paranasal Sinus Diseases/diagnostic imaging , Orthognathic Surgical Procedures/adverse effects , Maxillary Sinus/diagnostic imaging , Mucocele/diagnostic imaging , Paranasal Sinus Diseases/surgery , Paranasal Sinus Diseases/etiology , Facial Pain/etiology , Tomography, X-Ray Computed , Nasal Obstruction/etiology , Maxillary Sinus/pathology , Mucocele/surgery , Mucocele/etiologyABSTRACT
The sphenoidal sinus mucocele is a pseudocystic lesion of paranasal cavity (CPN). These injuries are probably underdiagnosed as they may be asymptomatic or cause nonspecific symptoms. The CT scan and the MRI increase the precision of the preoperative evaluation. We present a case of sphenoid sinus mucocele in a patient of 69 years old, who was admitted at our institution with 1 month evolution of persistent headache. Clinical presentation, diagnosis and treatment of this case are discussed as well as the review of the literature...
Subject(s)
Humans , Male , Aged , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Diseases/etiology , Mucocele/diagnosis , Mucocele/etiology , Polyps/complications , Sphenoid SinusABSTRACT
Avaliamos o perfil dos portadores de Mucoceles bucais e estudamos microscopicamente suas características para correlacioná-las com as possíveis etiopatogenias, especialmente as obstruções ductais promovidas por proliferações epiteliais hiperplásicas e neoplásicas como o papiloma intraductal, Papiloma Ductal Invertido e Sialadenoma Papilífero. Realizamos o levantamento das informações registradas de 987 casos clínicos e suas respectivas peças cirúrgicas foram re-analisadas microscopicamente em cortes teciduais corados em HE. Os dados foram registrados e tabulados para comparações e correlações. A faixa etária mais comprometida foi a segunda e terceira décadas (399 e 345 casos) e o local mais afetado foi o lábio inferior (707 casos). A distribuição entre os gêneros foi praticamente igual. Em 262 casos os pacientes relacionaram a lesão com o traumatismo prévio. Dos 987 casos, 77 (7,8%) foram diagnosticados como Cisto de Retenção Mucosa e (910) como cisto por extrasamento mucoso. Os Cistos de Retenção Mucosa aconteceram predominantemente pacientes acima da quinta década de vida. Algumas situações simultâneas foram identificadas com frequência nas glândulas salivares associadas às Mucoceles, como a Sialadenite Crônica Inespecífica, Sialadenite Crônica Esclerosente ou Tumor de Kuttner, Oncocitose e Sialolitíase. Foram diagnosticados ainda, 21 Papilomas Intraductais, 6 Papilomas Ductais Invertidos e 3 Sialadenomas Papilíferos, além de 27 Proliferações Epiteliais Intraductais de diagnóstico não determinado. Concluímos que: a) além dos traumatismos, na etiopatogenia das Mucoceles bucais deve-se considerar a presença dos Papilomas Ductais como uma importante possibilidade a ser analisada especificamente nas observações microscópicas das peças cirúrgicas enviadas para análise histopatológica, considerando-se a sua natureza neoplásica. b) a Sialolitíase e a Oncocitose devem ser consideradas como causas obstrutivas ductais de Mucoceles bucais em suas análises...
This study evaluated the profile of individuals with oral Mucoceles and investigated their microscopic characteristics with a view to correlate them to the possible etiopathogenesis, especially ductal obstructions caused by hyperplastic and neoplastic epithelial proliferations such as Intraductal Papilloma, Inverted Ductal Papilloma and Sialoadenoma Papilliferum. The study surveyed the records of 987 clinical cases and respective specimens, which were microscopically reanalyzed on tissue sections stained with hematoxylin and eosin. Data were recorded and tabulated for comparisons and correlations. The most affected age range was the second and third decades of life (399 and 345 cases), and the lower lip was the most affected site (707 cases). The distribution between genders was nearly equal. In 262 cases the patients related the lesion to a previous trauma. Among the 987 cases, 77 (7.8%) were diagnosed as mucus retention cyst and (910) as mucus extravasation cyst. The Mucus Retention Cysts affected mainly patients above the fifth decade of life. Simultaneous disorders were often identified in salivary glands associated to the Mucoceles, such as Nonspecific Chronic Sialadenitis, Chronic Sclerosing Sialadenitis or Kuttner Tumor, Oncocytosis and Sialolithiasis. There were also diagnoses of 21 Intraductal Papillomas, 6 Inverted Ductal Papillomas and 3 cases of Sialoadenoma papilliferum, besides 27 Intraductal Epithelial Proliferations of undetermined diagnosis. It was concluded that: a) in addition to trauma, the etiopathogenesis of oral Mucoceles should consider the presence of Ductal Papillomas as an important possibility to be specifically analyzed on the microscopic analysis of specimens submitted to histopathological analysis, considering its neoplastic nature. b) Sialolithiasis and Oncocytosis should be considered as causes of ductal obstruction of oral Mucoceles in the clinical and microscopic analyses. c) the partial and total causes...
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Mucocele/etiology , Mouth Mucosa/pathology , Mouth Neoplasms/pathology , Salivary Gland Diseases , Age Factors , Salivary Glands/pathology , Sex DistributionABSTRACT
Avaliamos o perfil dos portadores de Mucoceles bucais e estudamos microscopicamente suas características para correlacioná-las com as possíveis etiopatogenias, especialmente as obstruções ductais promovidas por proliferações epiteliais hiperplásicas e neoplásicas como o papiloma intraductal, Papiloma Ductal Invertido e Sialadenoma Papilífero. Realizamos o levantamento das informações registradas de 987 casos clínicos e suas respectivas peças cirúrgicas foram re-analisadas microscopicamente em cortes teciduais corados em HE. Os dados foram registrados e tabulados para comparações e correlações. A faixa etária mais comprometida foi a segunda e terceira décadas (399 e 345 casos) e o local mais afetado foi o lábio inferior (707 casos). A distribuição entre os gêneros foi praticamente igual. Em 262 casos os pacientes relacionaram a lesão com o traumatismo prévio. Dos 987 casos, 77 (7,8%) foram diagnosticados como Cisto de Retenção Mucosa e (910) como cisto por extrasamento mucoso. Os Cistos de Retenção Mucosa aconteceram predominantemente pacientes acima da quinta década de vida. Algumas situações simultâneas foram identificadas com frequência nas glândulas salivares associadas às Mucoceles, como a Sialadenite Crônica Inespecífica, Sialadenite Crônica Esclerosente ou Tumor de Kuttner, Oncocitose e Sialolitíase. Foram diagnosticados ainda, 21 Papilomas Intraductais, 6 Papilomas Ductais Invertidos e 3 Sialadenomas Papilíferos, além de 27 Proliferações Epiteliais Intraductais de diagnóstico não determinado. Concluímos que: a) além dos traumatismos, na etiopatogenia das Mucoceles bucais deve-se considerar a presença dos Papilomas Ductais como uma importante possibilidade a ser analisada especificamente nas observações microscópicas das peças cirúrgicas enviadas para análise histopatológica, considerando-se a sua natureza neoplásica. b) a Sialolitíase e a Oncocitose devem ser consideradas como causas obstrutivas ductais de Mucoceles bucais em suas análises...
This study evaluated the profile of individuals with oral Mucoceles and investigated their microscopic characteristics with a view to correlate them to the possible etiopathogenesis, especially ductal obstructions caused by hyperplastic and neoplastic epithelial proliferations such as Intraductal Papilloma, Inverted Ductal Papilloma and Sialoadenoma Papilliferum. The study surveyed the records of 987 clinical cases and respective specimens, which were microscopically reanalyzed on tissue sections stained with hematoxylin and eosin. Data were recorded and tabulated for comparisons and correlations. The most affected age range was the second and third decades of life (399 and 345 cases), and the lower lip was the most affected site (707 cases). The distribution between genders was nearly equal. In 262 cases the patients related the lesion to a previous trauma. Among the 987 cases, 77 (7.8%) were diagnosed as mucus retention cyst and (910) as mucus extravasation cyst. The Mucus Retention Cysts affected mainly patients above the fifth decade of life. Simultaneous disorders were often identified in salivary glands associated to the Mucoceles, such as Nonspecific Chronic Sialadenitis, Chronic Sclerosing Sialadenitis or Kuttner Tumor, Oncocytosis and Sialolithiasis. There were also diagnoses of 21 Intraductal Papillomas, 6 Inverted Ductal Papillomas and 3 cases of Sialoadenoma papilliferum, besides 27 Intraductal Epithelial Proliferations of undetermined diagnosis. It was concluded that: a) in addition to trauma, the etiopathogenesis of oral Mucoceles should consider the presence of Ductal Papillomas as an important possibility to be specifically analyzed on the microscopic analysis of specimens submitted to histopathological analysis, considering its neoplastic nature. b) Sialolithiasis and Oncocytosis should be considered as causes of ductal obstruction of oral Mucoceles in the clinical and microscopic analyses. c) the partial and total causes...
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Young Adult , Middle Aged , Aged, 80 and over , Mucocele/etiology , Mouth Mucosa/pathology , Mouth Neoplasms/pathology , Salivary Gland Diseases , Age Factors , Salivary Glands/pathology , Sex DistributionABSTRACT
We encountered an extremely unusual presentation of proptosis in a 7-yr-old boy due to psammomatoid juvenile ossifying fibroma of frontoethmoidal region. The tumor also led to development of mucocele in the frontal sinus not yet fully developed as on opposite side.
Subject(s)
Child , Ethmoid Sinus , Exophthalmos/etiology , Fibroma, Ossifying/complications , Frontal Sinus , Humans , Male , Mucocele/etiology , Paranasal Sinus Neoplasms/complicationsABSTRACT
A 40-year-old female presented with a 10 year history of left sided facial pain and occasional purulent nasal discharge, refractory to antibiotics. Dental examination showed 3 missing teeth in left maxilla one of which had no history of extraction. X-ray paranasal sinus showed a bony opacity in the maxillary sinus but nasal endoscopy was normal. C.T. scan revealed a radio-opaque shadow arising from medial wall of left maxillary sinus with a large maxillary mucocoele. Caldwell-Luc procedure was done and an ectopic canine tooth was seen arising from the medial antral wall. Extraction of the tooth with excision of mucocoele resulted in relieving of the symptoms.
Subject(s)
Adult , Choristoma/complications , Cuspid , Female , Humans , Mucocele/etiology , Tooth Extraction/methodsSubject(s)
Male , Adolescent , Humans , Tongue Diseases/etiology , Mucocele/etiology , Mucocele/therapy , Cosmetic Techniques/adverse effectsABSTRACT
Las heridas por balines en cavidades paranasales son raras. La presencia de balines como cuerpos extraños en cavidades paranasales es extremadamente infrecuente. Se presenta el caso de un paciente con un balín alojado en etmoides quien presentó como complicación, 16 años más tarde, un piomucocele que comprometió el nervio óptico. El balín fue removido por cirugía endoscópica con buenos resultados quirúrgicos.
Subject(s)
Humans , Male , Adult , Foreign Bodies/complications , Ethmoid Sinus/surgery , Ethmoid Sinus/injuries , Endoscopy , Wounds, Gunshot , Eye Injuries, Penetrating/complications , Mucocele/etiology , Optic Nerve Injuries/complicationsABSTRACT
A mucopiocele de concha média é uma doença incomum. A maioria das mucoceles se situa nos seios paranasais, principalmente nos seios etmoidal e frontal. Neste trabalho descreveremos um caso de mucopiocele de concha média associada com uma pansinusopatia.
Subject(s)
Humans , Male , Middle Aged , Mucocele/diagnosis , Paranasal Sinus Diseases/diagnosis , Turbinates/pathology , Chronic Disease , Diagnosis, Differential , Magnetic Resonance Imaging , Mucocele/etiology , Paranasal Sinus Diseases/complications , Tomography, X-Ray ComputedABSTRACT
A mucocele é uma lesão que acomete as glândulas salivares menores e respectivos ductos, decorrente, principalmente, de traumas na região afetada. Pode-se manifestar sob duas formas distintas histologicamente: fenômeno de extravasamento e o cisto de retenção mucoso, sendo o primeiro o mais freqüentemente observado. O presente trabalho tem a finalidade de elucidar, por meio da revista da literatura e relato incomum de um caso clínico, a etiopatogenia, características clínicas e histológicas importantes bem como formas de tratamento
Subject(s)
Child , Male , Humans , Salivary Glands, Minor/pathology , Mucocele/surgery , Mucocele/etiology , Mucocele/pathologyABSTRACT
O mucocele é uma lesäo encontrada na cavidade oral, relacionada com glândula salivar acessória. O nosso trabalho representa o resultado de biópsias feitas no serviço de Cirurgia Buco-Maxilo-Facial do Hospital Pedro Ernesto (HUPE), no período de 1990 a 1997. Foram estudados 36 (trinta e seis) casos e avaliados histologicamente. As lesöes foram analisadas quanto à prevalência por sexo, cor e idade dos pacientes, localizaçäo, coloraçäo, tamanho, tempo de evoluçäo, consistência, sintomatologia e saída de secreçäo. O tipo histológico mais comum de mucocele é o de estravasamento. O tratamento da lesäo baseia-se na excisäo cirúrgica e remoçäo da glândula salivar envolvida
Subject(s)
Humans , Male , Female , Mucocele/etiology , Mucocele/surgery , Prevalence , Age Factors , Biopsy , Recurrence , Salivary Gland DiseasesABSTRACT
Mucocele é um termo utilizado para diagnosticar clinicamente dois fenômenos que podem acometer as glândulas salivares menores, sendo eles: o fenômeno de extravasamento e o cisto de retençäo mucoso. Embora essas lesöes sejam muito freqüentes na cavidade bucal, existe ainda certa confusäo em relaçäo a esses termos. Os autores relatam um caso clínico de mucocele, discutindo a etiopatogenia e as características clínicas que levaram ao diagnóstico clínico da lesäo, bem como o prognóstico, o tratamento e as características histológicas da mesma
Subject(s)
Mucocele/diagnosis , Mucocele/etiology , Mucocele/surgery , Salivary Glands, Minor/physiopathologySubject(s)
Adult , Appendectomy , Appendix/pathology , Cecal Diseases/complications , Diverticulitis/complications , Humans , Male , Mucocele/etiologyABSTRACT
A patients with a fronto-ethmoidal mucocele secondary to fibromatosis of the nose and paranasal air sinuses is presented. The case was operated upon for first time in 1980 to remove a right fronto-ethmoidal mucocele, when a fibrous firm tissue mass was excised from the right side of his nasal cavity at the frontonasal opening. This mass was incorrectly diagnosed as fibrosarcoma. Fortunately radiotherapy was not given for fear of affecting vision. Frequent recurrences of the mucocoele with infection was treated medically and surgically. The closure of the frontonasal duct and the right upper part of nasal cavity with new bone and fibrous tissue, and the long standing condition of the patient aroused suspicion regarding the pathological diagnosis. Review of previous histopathology and fresh specimen proved that this is a case of fibromatosis of the paranasal sinuses
Subject(s)
Humans , Male , Nose Neoplasms , Paranasal Sinus Neoplasms , Mucocele/etiology , Frontal Sinus/pathology , Ethmoid Sinus/pathologyABSTRACT
Se presenta el caso clínico de un paciente en quien se diagnosticó un carcinoma laríngeo glótico T1 NO MO (clasificación TNM del American Joint Committee for Cancer Staging 1988), que comprometía el tercio medio de la cuerda vocal izquierda. Se realizó radioterapia y 4 años después del tratamiento presentó un laringomucocele interno del mismo lado de la lesión, sin existir recidiva tumoral. Este laringomucocele se trató por vía endoscópica y el paciente se controló durante 6 meses sin presentar recidiva. Se hace una revisión de las publicaciones en relación al laringocele, no existiendo en estas, antecedentes de una lesión de este tipo cuya aparición se relacione con la radioterapia