Maxillary Sinus Cyst and Angiolipoma: A Case Report at Wangaya Regional General Hospital, Indonesia
DOI:
https://doi.org/10.59888/dxn4b830Keywords:
CT-scan, Maxillary Sinus Cyst, Angiolipoma, Histopathology, LCWAbstract
Paranasal sinus cysts are benign lesions that are often asymptomatic. In most cases, they are found in the maxillary sinus. Further radiological examinations, such as a head CT scan, are required. The diagnosis of angiolipoma is made through histopathological analysis. The purpose of this article is to establish the diagnosis and management of maxillary sinus cysts and angiolipoma. A 35-year-old male patient presented to the ENT clinic of Wangaya Regional General Hospital complaining of nasal congestion and headache. Based on anamnesis, physical examination, and supporting investigations in the form of a head CT scan, the patient was diagnosed with a maxillary sinus cyst and angiolipoma. The treatment chosen was surgery in the form of Functional Endoscopic Sinus Surgery (FESS) and Luc-Caldwell (LCW) procedures. After surgery, the complaints of nasal congestion and headache were reduced. Maxillary sinus cyst and angiolipoma can be challenging to diagnose because of their nonspecific clinical presentations. Initial diagnostic testing may include computed tomography (CT), and definitive diagnosis is made through histopathology. Treatment options include FESS and LCW.
References
Bhuyan, S. K., Bhuyan, R., Debta, P., & Debta, F. M. (2016). Non-infiltrating angiolipoma of floor of mouth—a rare case report and literature review. Journal of Clinical Diagnostic Research, 11(2), ZD03–ZD05.
Bosmans, F., & Vanhoenacker, F. (2020). Giant frontal paranasal mucocele: Case report and review of the literature. Journal of the Belgian Society of Radiology, 104(1), 1–5.
Brendle, C., Schwenzer, N. F., Rempp, H., Schmidt, H., Pfannenberg, C., La Fougère, C., Nikolaou, K., & Schraml, C. (2016). Assessment of metastatic colorectal cancer with hybrid imaging: Comparison of reading performance using different combinations of anatomical and functional imaging techniques in PET/MRI and PET/CT in a short case series. European Journal of Nuclear Medicine and Molecular Imaging, 43(1), 123–132.
Claessens, Y. E., Debray, M. P., Tubach, F., Brun, A. L., Rammaert, B., Hausfater, P., Naccache, J. M., Ray, P., Choquet, C., & Carette, M. F. (2015). Early chest computed tomography scan to assist diagnosis and guide treatment decision for suspected community-acquired pneumonia. American Journal of Respiratory and Critical Care Medicine, 192(8), 974–982.
Demicheri, G., Kornecki, F., Bengoa, J., Abalde, H., Massironi, C., Mangarelli Garcia, C., & Beovide, V. (2016). Maxillary sinus mucocele: Review of case report. Odontoestomatologia, 18(27), 50–57.
Demiri, A. S., Demiri, S., Demiri, E., & Salihu, B. (2025). Symptomatic maxillary sinus retention cyst following a prior sinus perforation: A case report. [Journal name not specified].
Deng, Y., Ma, R., He, Y., Yu, S., Cao, S., Gao, K., Dou, Y., & Ma, P. (2024). Biomechanical analysis of the maxillary sinus floor membrane during internal sinus floor elevation with implants at different angles of the maxillary sinus angles. International Journal of Implant Dentistry, 10(1), 11.
Do?an, H., de Roos, A., Geleijins, J., Huisman, M. V., & Kroft, L. J. M. (2015). The role of computed tomography in the diagnosis of acute and chronic pulmonary embolism. Diagnostic and Interventional Radiology, 21(4), 307–315.
Elghobashy, M. K., Askoura, A. M., Mahmoud, M. S., & Ashour, M. M. (2023). Endoscopic assisted Caldwell-Luc approach for total excision of an extensive aneurysmal bony cyst of the maxillary sinus. Indian Journal of Otolaryngology and Head & Neck Surgery, 75, 901–905.
Folpe, A., & Nielsen, G. P. (2022). Bone and soft tissue pathology e-book: A volume in the Foundations in Diagnostic Pathology series. Elsevier Health Sciences.
Gamboa, A. C., Gronchi, A., & Cardona, K. (2020). Soft-tissue sarcoma in adults: An update on the current state of histiotype-specific management in an era of personalized medicine. CA: A Cancer Journal for Clinicians, 70(3), 200–229.
Hornick, J. L. (2017). Practical soft tissue pathology: A diagnostic approach e-book: A volume in the pattern recognition series. Elsevier Health Sciences.
Joy, E. T., Raghupathy, L. P., Sherubin, J. E., & Kiran, M. S. (2015). A rare presentation of a simple bone cyst. Journal of Pharmacy and Bioallied Sciences, 7(6), S823–S826.
Kothiwala, S. K., & Vashisht, K. R. (2023). Draining sinuses and fistulas. In Atlas of Clinical Dermatology in Coloured Skin (pp. 331–342). CRC Press.
Li, B., Li, X., Wang, Y., Han, Y., Wang, Y., Wang, C., Zhang, G., Jin, J., Jia, H., & Fan, F. (2020). Diagnostic value and key features of computed tomography in coronavirus disease 2019. Emerging Microbes & Infections, 9(1), 787–793.
Lin, Y.-H., Yang, Y.-C., Wen, S.-C., & Wang, H.-L. (2016). The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation. Clinical Oral Implants Research, 27(5), 612–617.
Matkuliev, Kh. M., Soatov, I. O., Noryigitov, F. N., Rakhimjonova, G. A., & Akhmedova, Z. A. (2024). Etiology, epidemiology and treatment methods of maxillary sinus cyst. Web Med Journal of Medical Practice and Nursing, 2(10), 272–278.
Motazedian, G., Khojasteh, A., et al. (2021). Periauricular angiolipoma: A case report. World Journal of Plastic Surgery, 10(3), 134–137.
Pérez-Sayáns, M., Suárez Peñaranda, J. M., Quintanilla, J. A. S., Chamorro Petronacci, C. M., García, A. G., & Carrión, A. B. (2020). Clinicopathological features of 214 maxillary sinus pathologies: A ten-year single-centre retrospective clinical study. Head & Face Medicine, 16(1), 1–10.
Pulumati, A., Pulumati, A., Dwarakanath, B. S., Verma, A., & Papineni, R. V. L. (2023). Technological advancements in cancer diagnostics: Improvements and limitations. Cancer Reports, 6(2), e1764.
Rastegar, H., & Osmani, F. (2022). Evaluation of mucous retention cyst prevalence on digital panoramic radiographs in the local population of Iran. Radiology Research and Practice, 2022, 1–6.
Schulz, R. A., Stein, J. A., & Pelc, N. J. (2021). How CT happened: The early development of medical computed tomography. Journal of Medical Imaging, 8(5), 052110.
Silva-Junior, G. O., Picciani, B. L., Costa, R. C., Barbosa, S. M., Silvares, M. G., & Souza, R. B. (2013). Oral soft-tissue angiolipoma: Report of two cases of rare oral lipomatous lesion with emphasis on morphological and immunohistochemical features. Journal of Oral Science, 55(1), 85–88.
Štokovi?, N., Trkulja, V., Dumi?-?ule, I., ?ukovi?-Bagi?, I., Lauc, T., Vuki?evi?, S., & Grgurevi?, L. (2016). Sphenoid sinus types, dimensions, and relationship with surrounding structures. Annals of Anatomy – Anatomischer Anzeiger, 203, 69–76.
Trimble, K. G., & McCadden, L. (2018). Cysts and sinuses of the head and neck. In Scott-Brown’s Otorhinolaryngology and Head and Neck Surgery (pp. 465–476). CRC Press.
Tu, Y., Hong, H., & Wu, W. (2021). Orbital infection due to medial wall fracture: Three cases of orbital complications caused by paranasal sinusitis secondary to medial orbital wall fracture. Journal of Craniofacial Surgery, 32(8), e712–e716.
Yenigun, A., Fazliogullari, Z., Gun, C., Uysal, I. I., Nayman, A., & Karabulut, A. K. (2016). The effect of the presence of the accessory maxillary ostium on the maxillary sinus. European Archives of Oto-Rhino-Laryngology, 273(12), 4315–4319.
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