Maxillary Sinus Mucocele – Cause of Cheek Pain and Treatment

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.

  • 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. michael kors sac michael kors sac

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