Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

상악동을 침범한 함치성낭종의 임상적 고찰

권혁성1, 박일호1, 최창재1, 이학천1, 김태훈1, 이승훈1, 이상학1, 이흥만1,*
Hyuck Sung Kwon1, Il-Ho Park1, Chang Jae Choi1, Hak Chun Lee1, Tae Hoon Kim1, Seung Hoon Lee1, Sang Hag Lee1, Heung-Man Lee1,*
1고려대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
*교신저자: 이풍만, 152–703 서울 구로구 구로동 80번지 고려대학교 의과대학 이비 인후-두경부외과학교실 전화: (02) 2626-3185· 전송: (02) 868-0475 E-mail: lhman@korea.ac.kr

© Copyright 2009 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 17, 2009; Revised: Sep 08, 2009; Accepted: Oct 08, 2009

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: The dentigerous cyst is a developmental odontogenic cyst which originates through alternations of the reduced enamel epithelium in an unerupted tooth. The purpose of this study was to investigate the clinical features of dentigerous cyst, especially those involving the maxillary sinus. Materials and Methods: Retrospective survey of dentigerous cyst was undertaken at the Department of Otorhinolaryngology-Head and Neck Surgery from January 1985 through June 2008. Results: There were 22 dentigerous cysts in this study. They occur over a wide age range with a peak frequency in the second to fourth decades. Every cyst was related to a supernumerary tooth. Facial swelling was the most common presenting symptom. Radiolucent and unilocular lesion was a radiologic characteristic of dentigerous cysts. Nineteen cases were treated by traditional Caldwell-Luc approach. Endoscopic marsupialization was used in three cases. Conclusion: Dentigerous cysts involving the maxillary sinus usually present as facial swelling. Radiologic examinations and clinical features can aid in diagnosis. Complete surgical enucleation can reduce recurrence. Endoscopic marsupialization should be considered carefully as the another option of treatment for dentigerous cyst of the maxillary sinus in selected case. (J Clinical Otolaryngol 2009;20:214–218)

Keywords: 함치성낭종; 상악동
Keywords: Dentigerous cyst; Maxillary sinus