Removal of a large maxillary sinus mucocele via Le Fort I osteotomy during orthognathic surgery: a case report.
- 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Karaköy Neighborhood, Mehmed Şemseddin Street, Building No. 6, Gölköy Campus, 14030 Bolu, Turkey.
Abstract
Maxillary sinus mucoceles are uncommon expansile lesions resulting from impaired sinus drainage and mucus accumulation. We report a 19-year-old male with a large left maxillary sinus mucocele identified during planning for bimaxillary orthognathic surgery. Preoperative cone-beam computed tomography showed complete sinus occupation with extension into the nasal cavity and toward the nasopharynx. During the independently planned Le Fort I osteotomy, maxillary down-fracture provided direct access, allowing intact removal of the well-encapsulated lesion. Histopathological examination confirmed a mucocele. At 2-month follow-up, the patient had no nasal symptoms, and postoperative imaging demonstrated marked sinus re-aeration without radiographic evidence of residual or recurrent disease. When independently indicated, Le Fort I osteotomy may provide effective access for simultaneous management of selected extensive maxillary sinus mucoceles.
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BibTeX
@article{boylu2026removal,
title = {{Removal of a large maxillary sinus mucocele via Le Fort I osteotomy during orthognathic surgery: a case report.}},
author = {Dilara Boylu and Ömer Faruk Boylu},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag974},
url = {https://europepmc.org/article/MED/42948776},
note = {CC BY},
}
RIS
TY - JOUR
TI - Removal of a large maxillary sinus mucocele via Le Fort I osteotomy during orthognathic surgery: a case report.
AU - Dilara Boylu
AU - Ömer Faruk Boylu
PY - 2026
DA - 2026/10/27
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag974
UR - https://europepmc.org/article/MED/42948776
AB - Maxillary sinus mucoceles are uncommon expansile lesions resulting from impaired sinus drainage and mucus accumulation. We report a 19-year-old male with a large left maxillary sinus mucocele identified during planning for bimaxillary orthognathic surgery. Preoperative cone-beam computed tomography showed complete sinus occupation with extension into the nasal cavity and toward the nasopharynx. During the independently planned Le Fort I osteotomy, maxillary down-fracture provided direct access, allowing intact removal of the well-encapsulated lesion. Histopathological examination confirmed a mucocele. At 2-month follow-up, the patient had no nasal symptoms, and postoperative imaging demonstrated marked sinus re-aeration without radiographic evidence of residual or recurrent disease. When independently indicated, Le Fort I osteotomy may provide effective access for simultaneous management of selected extensive maxillary sinus mucoceles.
SN - 2042-8812
ER -