Not everything in the maxillary sinus is sinusitis: a case of a dentigerous cyst.
A 4-year-old girl presented to a medical clinic with a painless right facial swelling. The treating physician ordered a radiograph of the sinuses and received a report of "maxillary sinusitis." After appropriate antibiotic treatment, the facial swelling increased, and the mother took the child to her community pediatrician. After a period of observation and additional imaging, the diagnosis of dentigerous cyst was made. After appropriate surgical intervention, the cyst was removed, and over the ensuing 6 weeks the facial swelling gradually diminished. Dentigerous cysts, although uncommon, need to be considered in the differential diagnosis of children with painless facial swelling.
Haber
Richard
R
Department of Pediatrics, McGill University, Montreal, Quebec, Canada.
D002675:Child, Preschool; D003803:Dentigerous Cyst / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015523:Maxillary Sinusitis / Q000175:diagnosis* / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000175:diagnosis* / Q000601:surgery; D018570:Risk Assessment; D012852:Sinusitis / Q000175:diagnosis*; D016896:Treatment Outcome