Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 123-129.doi: 10.6040/j.issn.1673-3770.0.2023.479

• Original Article • Previous Articles    

Maxillary cyst with inverted papilloma: a case report and literature review

SHI Zhonggang1,2, CAI Xiaolan1,3, LI Xuezhong1,3, ZHANG Liqiang1,3, FENG Xin1,3   

  1. 1. Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China2. Department of Otorhinolaryngology, JI'NAN Zhangqiu District People's Hospital, Jinan 250200, Shandong, China3. NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan 250012, Shandong, China
  • Published:2025-01-17

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Abstract: Objective This study aims to investigate the clinical features, diagnosis and treatment of nasal polyps, inverting papilloma and maxillary bone cyst occurring in the maxillary sinus. Methods We retrospectively analysed the medical records of a patient with nasal polyps, inverted papilloma and maxillary bone cyst from the maxillary sinus and reviewed and summarised the relevant literature. Results This case report presents a rare occurrence of a maxillary sinus cyst combined with an inverted papilloma and a nasal polyp. During surgical excision of the nasal polyps, they were found to be located in the anterior and lower part of the maxillary sinus. In addition, a friable grey-white swelling was found on the upper wall of the maxillary sinus, which was quickly confirmed to be a varus papilloma. The maxillary cyst was also located in the inferior wall of the maxillary sinus using 70° microscopy. The maxillary cyst was fenestrated and the tumour was resected via the anterior lacrimal canal approach. There were no complications during the procedure. Conclusion For the endoscopic surgical treatment of inverted papillomas and polyps in the maxillary sinus, the nasal approach emphasises the openness of the operative cavity. In addition, surgery in the maxillary sinus through the anterior lacrimal recess can treat areas that are difficult to access through traditional surgery. Targeted treatment can completely remove tumour tissue and effectively reduce tumour recurrence. For jaw cysts, fenestration and drainage can effectively reduce surgical trauma and avoid damage to surrounding important tissue structures caused by complete cyst resection. This procedure provides a large operative space and wide field of view, allowing complete cyst drainage and reducing the risk of recurrence and complications. It can also improve patients' quality of life and reduce recovery time.

Key words: Maxillary sinus nasal polyps, Inverted papilloma, Maxillary cystic lesions, Nasal endoscopy

CLC Number: 

  • R765.4
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