Case Report

Bilateral Postoperative Cyst after Maxillary Sinus Surgery: Report of a Case and Systematic Review of the Literature

Table 1

Overview of clinicopathological features of PMCs obtained from the literature.

AuthorYearPatient (age, gender)Initial symptomsLocation maxillary sinusRadiographic featuresInitial surgery (cause)Time after initial surgery (years)

[10]201447 mPain, swelling, pressureR & Ln.a.CL28
65 fRCL50
35 fLCL10
61 fRCL23

[11]201360 mSwellingRUnilocular radiolucencyAugmentation11

[12]201245 fSwelling and painLRadiolucent lesionCL2
28 mRCL13
49 fLCL26

[2]201054 fRepeated swellingLUnilocular radiolucency; expansion into surrounding soft tissue“A maxillary sinus surgery”8

[4]200960 fn.a.RSmooth & lobulated bordersn.a.n.a.
58 mn.a.Rn.a.41
44 fn.a.Ln.a.22
75 fn.a.Rn.a.60
59 mn.a.R & Ln.a.15
75 fn.a.Ln.a.55
64 mn.a.Ln.a.40

[13]200918 males, 20 females
(mean 46,5 years)
n.a.n.a.Completely opacified maxillary sinus with evidence of expansionCL21

[14] 200956 fDiscomfortRUnilocular, translucent area with radiodense bordersCL3

[15] 200935 fSwellingMidline of the palateWell-defined cystLe Fort I osteotomy7

[16] 200332 mChronic dull pain and tendernessLExtensive unilocular cystic lesion related to the left maxilla and causing marked expansion and thinning of the surrounding boneLe Fort I osteotomy15

[17] 200331 fpainLOpacification of the left maxillary sinusLe Fort I osteotomy15

[18] 200028 mn.a. n.a. n.a. CL4
72 m20
57 f25

[19] 200041 fNoneLRound, well-defined cystic cavityMaxillary sinus augmentation0.5

[20] 199315 males, 9 females
(mean 47,4 years)
Most had pain and extraoral swellingn.a.Unilocular cystsMaxillary surgical intervention8–55

[21] 199350 mExophthalmos and diplopiaLMucocele protruding into the left orbitCL31
61 fLCL43

[22] 199039 fPain, swelling, pusL(I) n.a.(I) Le Fort III osteotomy4
21 mL(II) Cystic lesion(II) Le Fort II osteotomy3/5
38 mL(III) Cystic lesion(III) Le Fort I osteotomy3

[23] 199041 mSwelling, pain, pus, tenderness, discomfortR & L13 cysts were involved the sinus completely, 12 were multilocular, 13 exhibited incomplete septaOperations for maxillary sinusitis21
47 fL27
33 mR & L15
52 mR & L32
40 fR & L25
37 mR & L22
45 fR & L24
57 mR18
68 mR & L43
36 mR & L14
63 mL25
44 mR & L26
57 mR40
52 mL15
37 mR & L22
50 mR & L26
36 fR23
63 mL27
54 mL10
38 fL24
49 fR & L25
67 mR48

[24] 19889 males and 12 females
25 to 74 years (mean of 43.7 years)
Tenderness, pain, swelling19x unilateral
2x bilateral
Cystic lesionsAntral surgery7–39
(mean 20)

[25] 198821 mSwelling and painRLarge radiolucent areaApicoectomies of the buccal roots1/2

[26] 198728 mTenderness, pain, swelling, facial distortion, diplopiaRLucent, expansive lesion with dehiscence in the bony wallCL bilateral14
85 mRCL right50
57 fRRights sinus surgery49
33 mRn.a.n.a.
65 mRCL right49

[7] 198066 fSwelling and tendernessLSmall oval shaped radiolucency with a well-defined margin and with surrounding sclerotic bone in the right maxillary sinusCL bilateral40
33 fLCL bilateral19

[5] 197980 males, 52 females, 11–71 yearsPainn.a.Mucocele and bony erosionCL12–43

[27]197819 mSwelling, tenderness, fistulaLCystic lesions with well-defined margins and partly irregular shape and destructive growthOperation on maxillary sinus6
53 mL35
36 mR20
39 mL6
29 fL15
21 mL7
36 mL20

m: male, f: female, R: right, L: left, n.a.: not available, and CL: Caldwell-Luc operation.