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상악동후벽에 발생한 낭형 복합치아종
A Peduncular Cystic Compound Odontoma on the Posterior Wall of the Maxillary Sinus

치과방사선 1998년 28권 2호 p.491 ~ 503

소속 상세정보

강병철/Byung-Cheol Kang

KMID : 0378219980280020491

Abstract

상악동에 발생한 낭형 복합치아종이 일반적인 상악동염 환자에게서 나타날 수 있는 두통,
코 막힘, 안면부 동통, 압통 등의 증상을 나타내었다.
치제에서 발생하는 치아종이 악궁에 발생하지 않고, 악궁보다 내측, 상측인 상악동 후벽에
부착되어 상악동내에 나타나는 이유는, 치아종이 악골 성장에 따라 이동되지 못한 것과, 상
악동의 함기화로 설명할 수 있다.
#초록#
A cystic compound odontoma in the maxillary sinus occurred in a 13-year-old boy,
who had missing right upper third molar without having the history of extraction of the
wisdom tooth. He complained nasal stuffiness, headache, and pain on the affected face,
resembling any sign and symptoms of the maxillary sinus problems.
The cystic compound, sized 2×1.5 ㎝ in diameter was pedunculated and attached on
the posterior wall of the right maxillary sinus and above the antral floor. The location
of the compound odontoma in the maxillary sinus was confirmed after panoramic,
waters, spiral tomographic, CT examination and surgical exploration. Its location was on
the medial, posterior, superior to the normal position of the maxillary third molar or the
maxillary dental arch.
The cystic odontoma in the maxillary sinus made the patient have the signs and
symptoms of maxillary sinusitis. The cystic compound odontoma might be originated
from the dental lamina of the missing upper right third molar. The 'V principle' of the
upper jaw growth and the pneumatization process of the maxillarry sinus could explain
why the compound odontoma had peduncular shape and the location of odontoma was
on the medial, superior to the normal position of the maxillary dental arch.