Patients with chronic allergies and chronic sinus conditions can end up with cysts in cheek sinus – the cyst does expand and causes remodeling pressure on bony margins and give pain with it. Sinus issues and pain in cheek? – that could be the cause and the treatment is surgery
Oral Maxillofac Surg. 2017 Mar;21(1):55-58. doi: 10.1007/s10006-016-0599-5.
Maxillary sinus mucocele: predisposing factors, clinical presentations, and treatment.
Abdel-Aziz M et al.
https://www.ncbi.nlm.nih.gov/pubmed/27896530
- cyst in maxillary sinus
- obstructs opening and causes retention of mucous
- can cause remodeling bone – so see bulgings in CT
Causes include
- chronic infection
- allergic rhinitis
- trauma
- prior surgery
- prior radiotherapy
- ?
Investigate with CT paranasal simuses
Symptoms: – cheek pain most common; can even include cheek numbness
Treatment –
- Surgical – Caldwell-Luc op – but annoying numbness face and cheek edema
- Better – drain cyst then Endoscopic marsupialize the mucocele
Comment – it is tempting to just give antibiotics for cheek pains but the definitive treatment is surgery.