上顎洞内側壁に孤立して進展した歯牙腫,複雑型の1例

DOI Web Site 参考文献15件 オープンアクセス
  • 田部 士郎
    九州歯科大学生体機能学講座顎顔面外科学分野
  • 土生 学
    九州歯科大学生体機能学講座顎顔面外科学分野
  • 矢田 直美
    九州歯科大学健康増進学講座口腔病態病理学分野
  • 松尾 拡
    九州歯科大学健康増進学講座口腔病態病理学分野
  • 冨永 和宏
    九州歯科大学生体機能学講座顎顔面外科学分野

書誌事項

タイトル別名
  • A Case of Odontoma, Complex Type in the Medial Wall of the Maxillary Sinus

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Odontoma is one of the most common benign odontogenic tumor but rarely occurs in the wall of the maxillary sinus. We report a rare case of an isolated odontoma, complex type which was located in the medial wall of the maxillary sinus.<br>A 64-year-old man visited a dental clinic because of pain and swelling of his left-side maxillary gingiva. Radiographic examination showed a radiopaque mass in the left maxillary sinus. He was referred to our department for further investigation of the lesion in the left maxillary sinus. Computed tomography revealed thickening of the maxillary sinus mucosa surrounding a tooth-like structure in the left medial wall of the maxillary sinus and soft tissue density in the left maxillary sinus containing the impacted first and second molars.<br>He was given a provisional diagnosis of odontoma in the maxillary sinus and infected dentigerous cyst associated with impacted first and second molars. He underwent surgical removal of the tooth-like structure in the maxillary sinus, followed by creation of a nasoantral window and extraction of the impacted first and second molars, followed by surgical enucleation of the cyst under general anesthesia. Histopathological examination of the tooth-like structure confirmed the diagnosis of odontoma, complex type. No evidence of postoperative recurrence of the left maxillary sinus has been observed.

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