A Case of Secondary Trigeminal Neuralgia Caused by Infected Postoperative Maxillary Cyst

Sang Min Lee; Han Kyung Sung; Ju Chang Kang; Hong Joong Kim

doi:10.18787/jr.2018.25.2.114

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Lee, Sung, Kang, and Kim: A Case of Secondary Trigeminal Neuralgia Caused by Infected Postoperative Maxillary Cyst

CASE REPORT

J Rhinol 2018;25(2):114-117.

Published online: 19 January 2018

DOI: https://doi.org/10.18787/jr.2018.25.2.114

A Case of Secondary Trigeminal Neuralgia Caused by Infected Postoperative Maxillary Cyst

Sang Min Lee, MD, Han Kyung Sung, MD, Ju Chang Kang, MD, Hong Joong Kim, MD

Department of Otorhinolaryngology-Head and Neck Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea

교신저자：김홍중, 13590 경기도 성남시 분당구 황새울로341번길 23 대진의료재단 분당제생병원 이비인후-두경부외과학교실 Tel: +82-31-779-0258, Fax: +82-31-779-0265, E-mail: joong2@dmc.or.kr

Received 15 March 2018 Revised 28 May 2018 Accepted 27 July 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postoperative maxillary cyst (POMC) is relatively common complication among patients who underwent Caldwell-Luc surgery. Patients with POMC usually have no symptoms, although cyst extension can result in bone destruction or cystic infection with pain. The trigeminal nerve consists of the ophthalmic nerve, maxillary nerve, and mandibular nerve. Among these branches, the maxillary nerve runs to the lateral and frontal sides of the maxillary sinus wall. POMC can rarely lead to trigeminal neuropathy caused by cyst enlargement that compresses some branches of the trigeminal nerve. Recently, we experienced a case with trigeminal neuralgia due to POMC. The patient was successfully treated with inferior meatal antrostomy. We report this rare case with a literature review.

Keywords: Trigeminal neuralgia, Maxillary sinus, Postoperative maxillary cyst, Postoperative cheek cyst.

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Fig. 1

Images of paranasal sinus CT. A: Bone setting of coronal view shows a 1.8 cm-sized cystic lesion with bone remodeling (arrow) at the postoperative right maxillary sinus. B: Enhanced image shows fat infiltration and inflammatory changes (short arrow) on bony dehiscence side of postoperative maxillary cyst (long arrow). C: Pterygomaxillary fissure (asterisk) is observed upper side of bony dehiscence site at coronal image.

Fig. 2

Cranial nerve MR image. Axial view of T2 weighed image shows 1.8 cm sized cystic lesion with bony dehiscence at the right maxillary sinus. And cyst bulging at the bony dehiscence site (long arrow) and infiltration (short arrow) around right maxillary sinus lateral wall were observed.

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