Postoperative Maxillary Cyst Research Articles

A case of pleomorphic adenoma in the maxillary sinus

A rare case of pleomorphic adenoma arising in the maxillary sinus is reported.A 58-year-old man complained of pus discharge from the oroantral fistula following the extraction of the right second molar.CT scan revealed a mass of 30 HU unit suggesting a formation of post operative maxillary cyst. Surgical excision of the lesion was carred out by Caldwell-Luc i method, and the oroantral fistula was closed. The pathological diagnosis was pleomorphic adenoma. The patient showed no evidence of recurrence of the tumor for two years postoperativelly.

眼症状を呈した術後性上顎嚢胞の７症例

眼症状を呈した術後性上顎嚢胞の７症例

眼球突出を伴った術後性上顎嚢胞の１例

眼球突出を伴った術後性上顎嚢胞の１例

Radiological examination of postoperative maxillary cyst

Radiological examination of postoperative maxillary cyst

The post-operative maxillary cyst: Experience with 23 cases

23 cases, diagnosed as post-operative maxillary cyst, from outside Japan are described. Clinical, radiographic and histopathological features are not dissimilar to those cases reported from Japan, and various parameters have been found to be helpful in diagnosis. This lesion is more common outside Japan than previously suggested, and this is probably largely due to faulty diagnosis.

The analysis of fluid aspirate glycosaminoglycans in diagnosis of the postoperative maxillary cyst (surgical ciliated cyst)

A characteristic electrophoretic pattern of glycosaminoglycans from fluid aspirates of the postoperative maxillary cyst has been observed. This pattern, in which hyaluronic acid and heparan sulfate are the predominant glycosaminoglycans (with lesser amounts of chondroitin-4-sulfate) may faciliate preoperative diagnosis of this lesion.

Histochemical studies on lectin binding patterns in postoperative maxillary cysts.

Up to now, histochemical investigations of the goblet cells found in cases of postoperative maxillary cysts (POMC) have yielded somewhat variable results, while examinations of glycoproteins have been restricted to only a few methods. Recently, lectins, which have specificity for various carbohydrate residues, have been applied for the detection of glycoproteins. However, as far as the author is aware, no studies of POMC using lectin histochemistry have been done. Accordingly, PAS-alcian blue (pH 2.5) staining was performed on POMC with special reference to goblet cells, and then lectin histochemistry was employed. The specimens examined were sixty cases of POMC, which were obtained from the Department of Oral Surgery, Nihon University School of Dentistry at Matsudo. Goblet cells appeared blue or bluish-purple, and ciliated cells and columnar cells appeared light purplish-red by PAS-alcian blue staining. The ABC method was employed for lectin staining using seven kinds of lectins, i. e., Con A, WGA, SBA, DBA, RCA-I, PNA and UEA-I. Goblet cells showed positive reactions for WGA, RCA-I, PNA and UEA-I, while ciliated cells and columnar cells were positive for Con A, WGA, SBA, DBA, RCA-I and UEA-I.

パノラマ X 線撮影による上顎洞内隆起性病変の検出に関する実験的研究

The radiographic examination of the maxillary sinus pathosis is usually accomplished by the Waters' projection, postero-anterior projection, and computed tomography. However, some lesions, such as the mucous retention cyst, post-operative maxillary cyst, and maxillary sinus carcinoma, as well as some lesions extending into the maxillary sinus, may be shown by panoramic radiography. In this study the detection of a globular radiopaque mass in the maxillary sinus of dry skull was compared experimentally using Waters' projection, postero-anterior projection, and panoramic radiography. Oil-clay masses with diameters of 5mm, 7mm, and 10mm were used as globular radiopaque masses, and they were always placed on the internal surface of the left maxillary sinus. The results obtained were as follows : 1. Globular radiopaque masses with diameters of 5mm, 7mm, and 10mm on the anterior wall of the maxillary sinus were detected in the sinus by every radiographic technique, but their correct positions were not clear. 2. Globular radiopaque masses with diameters of 5mm, 7mm, and 10mm on the posterior wall of the sinus were better shown by panoramic radiography. In panoramic radiography it was possible not only to detect a small radiopaque mass with a diameter of 3mm on the posterior wall, but also to determine its correct position in the sinus. 3. Globular radiopaque masses with diameters of 5mm, 7mm, and 10mm on the medial wall of the sinus were better shown by postero-anterior projection. But a globular radiopaque mass with a diameter of 3mm on the medial wall was not detected in the sinus. 4. Globular radiopaque masses with diameters of 5mm, 7mm, and 10mm on the floor of the sinus were better demonstrated by postero-anterior projection and panoramic radiography. In panoramic radiography, especially, it was possible not only to detect a globular radiopaque mass with a diameter of 5mm on the floor of the sinus, but also to determine its correct position on the floor of the sinus. A globular radiopaque mass with a diameter of 5mm on the floor of the sinus was also detected by postero-anterior projection, but its correct antero-posterior position on the floor was not clear. 5. Waters' projection is clinically utilized for the radiographic examination of the maxillary sinus pathosis. But it seems that Waters' projection is less effective for detection of globular radiopaque masses in the maxillary sinus. A radiopaque globular mass, especially on the floor of the maxillary sinus, is not clearly detected by Waters' projection, because of the overlapping of the maxillary molar teeth.

口腔外科領域の各種感染症に対するセフタジジム（ＣＡＺ，モダシン）の臨床的検討

Clinical study of Ceftazidime (CAZ, Modacin, ®) in various infections in the field of oral surgery were carried out. Ceftazidime was administered by intravenous injection at a daily dose of 2g (1g 2 times) to 49 patients with various infections.Cases consisted of 31 with ostitis of the jaws, 5 phlegmon of the floor of the mouth, 3 periocoronitis, 2 odontogenic maxillary sinusitis, 1 postoperative maxillary cyst, 2 peritonsillar abcess, 2 buccal abcess, 1 temporal abcess, 1 lymphadenitis and 1 sialoadenitis submandibularis.The following results were obtained. The clinical effects obtained in subjective judgement were excellent in 21 cases, good in 24 cases, fair in 2 and poor in O. The clinical effects obtained in judgement by point were classified as excellent in 13 cases, good in 32 and poor in 2, the effective rate of which was 95.7%, the same as the former. As for side effects, skin eruption, hypotention, nausea, and stomatic discomfort appeared.In the laboratory examinations, elevation of s-GOT in one case was observed. The results indicated the usefullness of Ceftazidime in the treatment of various infections in the field of oral surgery.

鼻粘膜のリポキシゲナーゼ代謝に関する検討鼻副鼻腔の慢性炎症に関して

Arachidonic acid metabolites in nasal secretion, retention fluid and the nasal mucosa were investigated. The nasal secretion was obtained from patients with chronic sinusitis, and the retention fluid was from post-operative maxillary sinus cyst. The mucosa of the inferior turbinates in hypertrophic rhinitis, the nasal polyps and the sinus mucosa in chronic sinusitis were also investigated. Leukotriene (LT)B4,5-,12- and 15hydroxyeicosatetraenoic acid (HETE) were analyzed by reverse-phase high performance liquid chromatography and spectrophotometry, and LTC4, D4 and E4 were analyzed by RP-HPLC.The levels of LTB4 and 5-HETE in nasal secretion and mucosae were higher than the concentration that induced chemotactic activity in polymorphonuclear cells. The predominant metabolites of arachidonic acid in the nasal mucosae were 12- and 15-HETE, and that in nasal secretion was 12-HETE. Sulfidopeptide LTs such as LTC4, D4, E4 were detected, even in non-allergic samples.LTB4 and 5-HETE are presumed to ha ve important roles in nasal mucosal inflammation with leukocytes migration. The roles of 12- and 15-HETE in the nasal mucosa also seemed to be important because of their predominance in the arachidonic acid cascade. LTC4, D4, E4, which are slow-reacting substances in anaphilaxis, were considered to mediate not only nasal allergy but also the inflammation of the nasal mucosae.

口腔外科領域の各種感染症に対するｓｕｌｂａｃｔａｍ／ｃｅｆｏｐｅｒａｚｏｎｅ（ＳＢＴ／ＣＰＺ，スルペラゾン）の臨床成績

Clinical evaluations of Sulbactam Cefoperazone (SBT/CPZ, Sulpemzome®) in various infections in the field of oral surgery were carried out.Sulbactam/Ceforperazone was administered to 51 patients with various infections. Sulbactam/Cefoperazone wasadministered by intravenous injection at a daily dose of 2 g (1 g × 2 times). Cases consistedof31 with maxillary ostitis, 3 phlegmone of the floor of the mouth, 4 pericoronitis, 2odontgenic maxillary sinuitis, 4 buccal abscess, 3 infection of post operative maxillary cyst, 1parotitis, 1 submaxillary limphadenitis and 2 peritonsillitis. The clinical effects obtained insubjective judgement were exellent in 25 cases, good in 22, fair in 4 and poor in none. The clinical effects obtained in judgement by point were excellent in 14 cases, good in 33 and poor in 4.The effective rate of which was 92.2%, the same as the former.As for side effects, stomatic discomfort appeared in one case.In the laboratory examination, elevation of s-GOT was observed in A patient, andelevation of BUN was observed in another patient. The results indicated theusefullness of Sulbactam/Cefoperazone in the treatment of various infections in the field of oralsurgery.

Clinical study of postoperative maxillary cyst

Clinical study of postoperative maxillary cyst

Clinico-pathologic studies on post-operative maxillary cysts

Microscopic and clinical observations on 70 post-operative maxillary cysts were performed. Cysts of 47 cases were lined with the ciliatal epithelium, and 12 cases were composed of both squamous and ciliated cells. Squamous only and cuboidal lining were found in 9 and 2 cases, respectively. Duration after the antrum operation and the non-vital tooth related to the cyst did not affect the epithelial type, though many of the cases of squamous epithelium possessed infectious histories. From the results, the squamous change seemed to be acceralated by inflammatory irritations, and mucous cells in the lining epithelium were depleted as a part of the metaplastic sequence.

Mucoceles of the maxillary sinus

Antral mucoceles are a separate entity that must be distinguished from the common, dome-shaped lesions of the floor of the sinus that are also often, although inaccurately, referred to as mucoceles. The latter lesions are known by a variety of names, including pseudocysts, and are innocuous. True antral mucoceles are potentially destructive lesions that are often secondary to trauma, especially the Caldwell-Luc procedure. This article describes in some detail the clinical, radiologic, and histopathologic features of true antral mucoceles. One type of antral mucocele, commonly seen in Japan, is referred to as a postoperative maxillary cyst and is identical to the surgical ciliated cyst of the maxilla originally reported by Gregory and Shafer.

Clinicopathologic study of the postoperative maxillary cyst

Sixty cases of the postoperative maxillary cyst were studied clinicopathologically. The cysts accounted for 19.5% of all oral cystic lesions. Most of the patients were in their 20s and 30s at the time of diagnosis, and the postoperative duration was between 10 and 49 years. Radiographically, most cases revealed a unilocular cystic lesion. In two thirds of the cases, the lesion occupied more than half the volume of the maxillary sinus while the remaining one third of the cases revealed more limited lesions of the sinus. Histopathologically, cuboidal, squamous, and mixed epithelial cyst linings were observed, although the basic epithelial lining was the ciliated columnar type. Epithelial dysplasia was found in two cases. The cysts near the nasal cavity may originate from regenerated nasal mucosa, and the cysts that are located at a distance from the nasal cavity may be lined with epithelium derived from residual mucosa of the sinus entrapped during surgery to relieve sinusitis.

口腔外科領域の各種感染症に対するセフブペラゾン（ＣＢＰＺ，ケイペラゾン）の臨床成績

Clinical evaluation of cefbuperazon (CBPZ, Keiperazon) in various infections in the field of oral surgery were carried out.Cefbuperazon was administered by intravenous injection at a daily dose of 2g (1g×2 times) to 60 patients with various infections.The following results were obtained:Cases consisted of 39 with maxillary ostitis, 7 phlegmon of the floor of the mouth, 5 buccal abscess, 4 odontgenic maxillary sinuitis, 3 post operative maxillary cyst, 1 peritonsillitis and 1 sialoadenitis submandibularis. The evaluation was made with 59 cases.The clinical effects obtained in subjective judgement were excellent in 26 cases, good in 26 cases, fair in 5 and poor in 2. The clinical effects obtained in judgement by point were classified as excellent in 16 cases, good in 36 and poor in 7.Effective rate in subjective was 88.2%. Effective rate in judgement by point was 88.2%.As side effects, eruption and itching appeared in one case, diarrhea in two and nausea in one.The elevation of s-GOT and s-GPT was observed after cefbuperazon administration in 4 cases in the laboratory examiations.The results indicated the usefulness of cefbuperazon in the treatment of various infections in the field of oral surgery.

Radiologic interpretation of fissural cysts and postoperative maxillary cyst and simple bone cyst

Radiologic interpretation of fissural cysts and postoperative maxillary cyst and simple bone cyst

口こう外科領域の各種感染症に対するアスポキシシリン（ＡＳＰＣ，ＴＡ‐０５８）の臨床成績

Clinical evaluation of aspoxicillin (ASPC, TA-058) in various infections in the fi eld of oral surgery were carried out.Aspoxicillin was administered to 68 patients with various infections. Aspoxicillin was administered by intravenous injection or intramuscular injection at a daily dose of 2g (1g×2 times).The following results were obtained:Cases consisted of 40 with maxillary ostitis, 9 phlegmon of the floor of the mouth, 9 pencoronitis, 4 odontogenic maxillary sinuitis, 1 post operative maxillary cyst, 3 buccal abscess, 1 peritonsillitis and 1 gingival abscess. The evaluation was made with 68 cases.The clinical effects obtained in subjective judgement were excellent in 34 cases, good in29, fair in 2 and poor in 3. The clinical effects obtained in judgement by point were classified as excellent in 33 cases, good in 31 and poor in 4.Effective rate in subjective judgement was 92.7%. Effective rate in judgement by point was 94.1%.This medicine turned out effective in intravenous as well as intramuscular injections.Side effect in one case was facial edematous sensation.The elevation of s-GOT, s-GPT was observed after aspoxicillin administration in 4 cases in the laboratory examinations.The results indicated the usefulness of aspoxicillin in the treatment of various infections in the field of oral surgery.

Comparative Study of Biochemical Characteristics of the Fluids in Otitis Media with Effusion and Postoperative Maxillary Cysts

The biochemical characteristics and smears of the fluids in M-OME, S-OME, AOM, POMC, and AMS were studied. The fluids in S-OME and POMC had the character of transudate rather than exudate. On the other hand, M-OME, AOM, and AMS showed a more exudative or secretive nature. The character of the product from the inflammatory process of the specific condition was particularly seen in M-OME, AOM, and AMS. Thus we speculate that the chronic inflammatory process has a close relationship to the pathogenesis of OME, especially in mucoid types.

Statistical Observation of Postoperative Maxillary Cyst

Statistical Observation of Postoperative Maxillary Cyst