ABSTRACT
Objective:
Retention cysts and rhinosinusitis is seen separately frequent in otorhinolaryngology practice. In this study, the coexistence of retention cysts and rhinosinusitis is evaluated and discussed in scope of literature.
Methods:
All cases who admitted to our tertiary hospital between January 2010 and December 2016 who had paranasal sinus computed tomography for any reason included in the study. All cases was recorded in terms of age, gender, presence of retention cyst and if present which side and Lund-Mackay scores of two sides. Patients were evaluated for existence of retention cyst and rhinosinusitis. Rhinosinusitis evaluation was made with Lund-Mackay score. Cases were evaluated for the statistically significance relationship between retention cyst and Lund-Mackay scores.
Results:
Six hundred cases included in the study. In 36.2% (n=217) of the reviewed 600 computed tomography scans, retention cyst was present and 63.8% (n=383) retention cyst was not present. Among retention cyst positive cases, 82 (37.9%) was right sided, 68 (31.4%) was left sided and 66 (30.5%) was bilateral. According to the Lund-Mackay score, 2.7% (n=130) case was valued as grade 1, 13.2% (n=79) case was valued as grade 2. In the light of this information, there seems to be a statistically significant relationship between the side with retention cyst and Lund-Mackay score. (p<0.01).
Conclusion:
Lund-Mackay scores of the retention cyst sinus side was statistically significant high in our study (p<0.01). In this context there was significant relationship between rhinosinusitis and presence of retention cyst. However, because there is opposed data in the literature, further study is required to investigate the relationship of rhinosinusitis and retention cysts.
Keywords:
Rhinosinusitis, Lund-Mackay, retention cyst
References
1Paparella MM. Mucosal cyst of the maxillary sinus: diagnosis and management. Arch Otolaryngol 1963;77:650-70.
2Gardner DG. Pseudocysts and retention cysts of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1984;58:561-7.
3Ruprecht A, Batniji S, El-Neweihi E. Mucous retention cyst of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62:728-31.
4Rogers JH, Fredrickson JM, Noyek AM. Management of cysts, benign tumors, and bony dysplasia of the maxillary sinus. Otolaryngol Clin North Am 1976;9;233-47.
5Rhodus NL. The prevalence and clinical significance of maxillary sinus mucous retention cysts in a general clinic population. Ear Nose Throat J 1990;69:82-7.
6Casamassimo PS, Lilly GE. Mucosal cysts of the maxillary sinus: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol 1980;50:282-6.
7Lilly GE, Cutcher JL, Steiner M. Spherical shadows within the maxillary antrium. J Oral Med 1968;23:19-21.
8Halstead CL. Mucosal cysts of the maxillary sinus: report of 75 cases. J Am Dent Assoc 1973;87:1435-41.
9Gothberg KA, Little JW, King DR, Bean LR. A clinical study of cysts arising from mucosa of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1976;41:52-8.
10Kwapis BW, Whitten JB. Mucosal cysts of the maxillary sinus. J Oral Surg 1971;29:561-6.
11Ence BK, Parsons DS. Mucous retention cyst causing pain of the infraorbital nerve. Otolaryngol Head Neck Surg 1990;103:1031-4.
12Hadar T, Shvero J, Nageris BI, Yaniv E. Mucus retention cyst of the maxillary sinus: the endoscopic approach. Br J Oral Maxillofac Surg 2000;38:227-9.
13Jiann-Jy C, Dem-Lion C, Chi-Jen C. The Lund-Mackay Score for Adult Head and Neck Computed Tomography. J Radiol Sci 2011;36:203-8.
14Bhattacharyya N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Arch Otolaryngol Head Neck Surg 2000;126:1369-71
15Scribano E, Ascenti G, Loria G, Cascio F, Gaeta M. The role of the ostiomeatal unit anatomic variations in inflammatory disease of the maxillary sinuses. Eur J Rad 1997;24:171-4.
16Moon IJ, Lee JE, Kim ST, Han DH, Rhee CS, et al. Characteristics and risk factors of mucosal cysts in the paranasal sinuses. Rhinology 2011;49:309-14.
17Harar RP, Chadha NK, Rogers G. Are the maxillary mucosal cyst a manifestation of inflammatory diseases? J Laryngol Otol 2007;121:751-4.
18Wang JH, Jang YJ, Lee BJ. Natural course of retention cysts of the maxillary sinus: long term follow-up results. Laryngoscope 2007;117:341-4.
19Albu S. Symptomatic maxillary sinus retention cysts: should they be removed? Laryngoscope 2010;120:1904-9.