International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 1 , Pages 41-44 , March 2006

Transnasal endoscopic marsupialization for a large midline maxillary odontogenic keratocyst in a 6-year-old child

  • Yuh-Chyun Chiang

      Affiliations

    • Department of Otolaryngology, Taiwan Adventist Hospital, No. 424, Pa Te Road, Section 2, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Pin-Zhir Chao

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Tsung-Han Yang

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Bou-Yue Peng

      Affiliations

    • Dental Department, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Fei-Peng Lee

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author at: Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan. Tel.: +886 2 27372181x3215; fax: +886 2 27387020.

Received 21 September 2005 ,Revised 27 November 2005 ,Accepted 6 December 2005.

  • Image Result

    A preoperative coronal computed tomography scan revealed a midline cystic lesion of the maxilla.

    A preoperative coronal computed tomography scan revealed a midline cystic lesion of the maxilla.

  • Image Result

    The histological section shows a uniform epithelial thickness of 5–7 cells, palisaded basal cell layers, and a corrugated parakeratinized surface.

    The histological section shows a uniform epithelial thickness of 5–7 cells, palisaded basal cell layers, and a corrugated parakeratinized surface.

  • Image Result

    Six months after surgery, the cyst had decreased in size, and it had a patent orifice in the right nasal floor.

    Six months after surgery, the cyst had decreased in size, and it had a patent orifice in the right nasal floor.

  • Image Result

    A CT scan 3 years after surgery revealed multiple expansile cystic changes on both sides of the body and angle of the mandible.

    A CT scan 3 years after surgery revealed multiple expansile cystic changes on both sides of the body and angle of the mandible.

  • Image Result

    Five years after surgery, the previously marsupialized midline odontogenic keratocyst was replaced by an air-containing sinus with a wide opening in the right nasal floor.

    Five years after surgery, the previously marsupialized midline odontogenic keratocyst was replaced by an air-containing sinus with a wide opening in the right nasal floor.

PII: S1871-4048(05)00015-8

doi: 10.1016/j.pedex.2005.12.002

International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 1 , Pages 41-44 , March 2006

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