Suspect residual cyst at maxilla with sinus maxilaris involvement

Merry Annisa Damayanti; Rifarana Inayah Dhiaulhaq; Chrisna Ardhya Medika; Nur Aini Jamil; Tazkia Munasyifa

doi:10.32793/jrdi.v9i3.1329

Authors

Merry Annisa Damayanti Universitas Padjadjaran, Indonesia
Rifarana Inayah Dhiaulhaq Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
Chrisna Ardhya Medika Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
Nur Aini Jamil Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
Tazkia Munasyifa Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia

DOI:

https://doi.org/10.32793/jrdi.v9i3.1329

Keywords:

CBCT, residual cyst, panoramic, maxillary sinus

Abstract

Objectives: This case report aims to describe the radiographic characteristics of residual cysts in the maxilla that extend into the vestibular area and maxillary sinus using panoramic radiographs and CBCT radiographs.

Case Report: An 81-year-old patient presented with a chief complaint of re-swelling after cyst removal under local anesthesia and scraping in 2022. The patient changed doctors and had a CBCT examination as a supporting examination to confirm the diagnosis. The patient had a history of hypertension and cholesterol so treatment was delayed until now. Clinical examination showed vestibular swelling around the edentulous sites of teeth #13, and 14. Radiological examination showed a well-demarcated and well-defined radiolucency in the maxilla that was aggressive due to its relatively large size, erosion of the buccal cortical bone, and extended into the maxillary sinus. Suspect diagnosis of this case was residual cyst due to previous treatment, with differential diagnosis of labial cyst, nasopalatine cyst, and radicular cyst.

Conclusion: Based on clinical examination, radiography examination by 2D, panoramic and 3D CBCT, this lesion radiolucent leads to a suspected radiodiagnosis of maxillary residual ar cyst with maxillary sinus involvement.

References

1. Barrios-Garay K, Agudelo-Sánchez L, Aguirre-Urizar J, Gay- Escoda C. Critical assessment of the latest classification of jaw cysts proposed by the World Health Organization (2017). J Clin Exp Dent. 2021;e1147–53.

2. Brown SJ, Conn BI. Odontogenic cysts: classification, histological features and a practical approach to common diagnostic problems. Diagn Histopathol. 2022 May;28(5):253–66.

3. Robinson M, Hunter K, Pemberton M, Sloan P. Jaw cysts and odontogenic tumours. In: Soames’ & Southam’s Oral Pathology. Oxford University PressOxford; 2018. p. 135–60.

4. Titinchi F, Morkel J. Residual cyst of the jaws: A clinico- pathologic study of this seemingly inconspicuous lesion. PLoS One. 2020 Dec 17;15(12):e0244250.

5. Tsvetanov T. Residual cysts: A brief literature review. Int J Med and Dent Sci. 2016;5:1341–6.

6. White SC, Pharoah MJ. White and pharoah oral radiology :

Principles and interpretation. Elsevier; 2014.

7. Patil SR, Yadav N, Alam F, Gudimaneni RK, S S, Alam MK. Residual Cyst in an Elderly Patient: A case report with brief review of literature. International Journal of Human and Health Sciences. 2018;02:1–4.

8. De Souza DF, Caldeira Tinoco LV, Dos Santos IAF, Lima IQ, Tello Filho MG, Borges TL, et al. Residual Cyst after Multiple Extractions in the Anterior Maxilla: a Case Report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018 Sep;126(3):e55.

9. Omar F, Noorani TY, Ghani HA, Ghani NRNA, Razak NHA, Wahid NDA. A multidisciplinary approach to an unusual cystic lesion of the maxilla-A case report. Saudi Endodontic Journal. 2020;10(2):165–71.

10. Suomalainen A, Pakbaznejad Esmaeili E, Robinson S. Dentomaxillofacial imaging with panoramic views and cone beam CT. Insights Imaging. 2015;6(1):1–16.

11. Paul S, Mishra A, Ghom S, Banerjee A. RESIDUAL CYST: AN UNIQUE CASE REPORT OF MANDIBULAR ARCH. Egyptian Journal of Oral and Maxillofacial Surgery. 2025 Jul 1;16(3):158–61.

12. Hutasoit Y, Sam B, Firman RN. Temuan kista dentigerus rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiograf. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2020;32(2):48.

13. Prawira A, Yunus B. CBCT-3D radiographic analysis of an infected radicular cyst of the upper jaw : a case report. 2024;8(1):8–11.

14. Jamdade A, Nair GR, Kapoor M, Sharma N, Kundendu A. Localization of a Peripheral Residual Cyst: Diagnostic Role of CT Scan. Case Rep Dent. 2012;2012:1–6.

15. Antony DP, Thomas T, Nivedhitha M. Two-dimensional Periapical, Panoramic Radiography Versus Three- dimensional Cone-beam Computed Tomography in the Detection of Periapical Lesion After Endodontic Treatment: A Systematic Review. Cureus. 2020;12(4).

16. Kilinc A, Gundogdu B, Saruhan N, Yalcin E, Ertas U, Urvasizoglu G. Odontogenic and nonodontogenic cysts: An analysis of 526 cases in Turkey. Niger J Clin Pract.