Abstract
A wide variety of lesions and not necessarily a malignant tumour can cause maxillary swelling. Non-specificity of clinical and radiological features of these maxillary lesions makes their diagnosis difficult. Review of literature adds a little regarding the aetiopathological distribution of the various lesions causing maxillary swelling. We present our finding regarding the relative distribution of various conditions causing maxillary swelling. The awareness of the spectrum of pathology related to maxillary swelling is essential for correct diagnosis and treatment. Forty-eight patients who presented with a swelling of the maxilla to our hospital between May 1998 and April 2001 were prospectively studied regarding the clinical presentations, radiological features and histological findings. Maxillary swelling was found to be caused by malignant tumours in 54.2%, benign neoplasms in 22.9% and non-neoplastic lesions in 22.9%. Overall squamous cell carcinoma (22.9%) was the commonest lesion, tumour of vascular origin was the commonest benign neoplasm and odontogenic cyst was the commonest among the non-neoplastic lesions.
Similar content being viewed by others
References
Dubois PJ, Schultz JC, Perrin RL et al (1977) Tomography in expansile lesions of the nasal and paranasal sinuses. Radiology 125(1):149–149
Vetrone G, Grazi GL, Ercolani G et al (2006) Successful treatment of rhinomaxillary form of mucormycosis infection after liver transplantation: a case report. Transplant Proc 38(5):1445–1447
Yagi HI, Gumaa SA, Shumo AI et al (1999) Nasosinus aspergillosis in Sudanese patients: clinical features, pathology, diagnosis, and treatment. J Otolaryngol 28(2):90–94
Busch M, Weiler H, Fruhmorgen P et al (1995) Paranasal sinus mycetoma with orbital involvement in a patient with AIDS. Bildgebung 62(3):199–201
Eswar N (2001) Garre’s osteomyelitis: a case report. J Indian Soc Pedod Prev Dent 19(4):157–159
Vaz F, Callanan V, Leighton S et al (2000) Congenital maxillary sinus cholesteatoma. Int J Pediatr Otorhinolaryngol 52(3):283–286
Shek AW, Wu PC, Samman N (1996) Inflammatory pseudotumour of the mouth and maxilla. J Clin Pathol 49(2):164–167
Han MH, Chang KH, Lee CH et al (1995) Cystic expansile masses of the maxilla: differential diagnosis with CT and MR. AJNR Am J Neuroradiol 16(2):333–338
Yamazaki M, Cheng J, Nomura T et al (2003) Maxillary odontogenic keratocyst with respiratory epithelium: a case report. J Oral Pathol Med 32(8):496–498
Sivapathasundharam B, Rafiudeen S (2001) Calcifying odontogenic cyst. Report of two cases. Indian J Dent Res 12(1):41–45
Bataineh AB (1997) Aneurysmal bone cysts of the maxilla: a clinicopathologic review. J Oral Maxillofac Surg 55(11):1212–1216
Meyers AD, Burtschi T (1980) Pneumocele of the maxillary sinus. J Otolaryngol 9(4):361–363
Morris WM, Losken HW, le Roux PA (1989) Spheno-maxillary meningo-encephalocele. A case report. J Craniomaxillofac Surg 17(8):359–362
Yagisawa M, Ishitoya J, Tsukuda M (2006) Hematoma-like mass of the maxillary sinus. Acta Otolaryngol 126(3):277–281
Chen YR, Wong FH, Hsueh C et al (2002) Computed tomography characteristics of non-syndromic craniofacial fibrous dysplasia. Chang Gung Med J 25(1):1–8
Vaillant JM, Romain P, Divaris M (1989) Cherubism. Findings in three cases in the same family. J Craniomaxillofac Surg 17(8):345–349
Ghadour K, Yates C (1990) Primary hyperparathyroidism presenting as a massive maxillary swelling. Br Dent J 168(3):112–115
Windfuhr JP, Remmert S (2004) Extranasopharyngeal angiofibroma of the nasal cavity and paranasal sinuses. Laryngorhinootologie 83(5):308–316
Panesar J, Vadgama B, Rogers G et al (2004) Juvenile angiofibroma of the maxillary sinus. Rhinology 42(3):171–174
Yoshihara T, Nagai K (1997) Infantile schwannoma of the maxillary sinus. Int J Pediatr Otorhinolaryngol 40(2–3):181–187
Rawashdeh MA, Bataineh AB, Al-Khateeb T (2006) Long-term clinical and radiological outcomes of surgical management of central giant cell granuloma of the maxilla. Int J Oral Maxillofac Surg 35(1):60–66
Manni JJ (1983) Ectopic meningioma of the maxillary sinus. J Laryngol Otol 97(7):657–660
Ho KH (1988) Inverted papilloma—a modified surgical approach to reconstruction of the palate. Br J Oral Maxillofac Surg 26(2):115–119
Kim SG, Jang HS (2001) Ameloblastoma: a clinical, radiographic, and histopathologic analysis of 71 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91(6):649–653
Gratz KW, Sailer HF, Makek M (1990) Osseous metastases in upper and lower jaws. Dtsch Z Mund Kiefer Gesichtschir 14(2):122–131
Stavrianos SD, Camilleri IG, McLean NR et al (1998) Malignant tumours of the maxillary complex: an 18-year review. Br J Plast Surg 51(8):584–588
Maxymiw WG, Goldstein M, Wood RE (2001) Extranodal non-Hodgkin’s lymphoma of the maxillofacial region: analysis of 88 consecutive cases. SADJ 56(11):524–527
Mwanda WO, Orem J, Remick SC, Rochford R et al (2005) Clinical characteristics of Burkitt’s lymphoma from three regions in Kenya. East Afr Med J 82 (9 Suppl):S135–S143
Koike M, Ishiyama T, Hamano Y, et al (1997) Extramedullary plasmacytoma with multiple metastasis following a maxillary plasmacytoma. Rinsho Ketsueki 38(4):336–341
Creston JE, Creek W (1978) The otolaryngologic manifestations of multiple myeloma. Laryngoscope 88(8 Pt 1):1320–32
Iguchi Y, Takahashi H, Yao K et al (2002) Malignant fibrous histiocytoma of the nasal cavity and paranasal sinuses: review of the last 30 years. Acta Otolaryngol Suppl 547:75–78
Neetha MC, Anupama DH, Shashikanth MC (2004) Malignant peripheral nerve sheath tumor of the maxilla. Indian J Dent Res 15(3):110–113
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Biswas, D., Crank, S. Aetiopathology of maxillary swelling—a 3-year prospective study. Eur Arch Otorhinolaryngol 264, 1295–1299 (2007). https://doi.org/10.1007/s00405-007-0350-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-007-0350-9