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Abstrak

Kista dalam sinus maksillaris merupakan kista retensi atau mukokel pada
rongga sinus maksill aris berisi cairan mukoid yang terletak dii ntra oral didasar
sinus,dinding lateral, rongga sinus dan kadang-kadang melibatkan rongga sinus
lai nny,dinding kista ini dil apisi oleh epitel pseudostratified cil iated columnar
ephitel ium. Etiologinya bi asanya terj adi setelah ada cedera dan trauma pada
pencabutan gigi premolar dan molar yang diikuti perl uasan kesinus
maksillaris,pasca operasi si nus,nasal antrostomi,luka tembak dan fraktur
maksilla kompleks dan dapat pula disebabkan oleh infeksi, reaksi inflamasi, penyumbatan
cairan atau genetik. Terdapat 2 tekhnik pembedahan yang dapat dilakukan yaitu
pembedahan radikal dan non radikal, di mana pembedahan non radikal l ebih
disukai karena mempunyai banyak keuntungan dan komplikasi yang minimal.
Dilaporkan satu kasus kista retensi disinus maksillaris dextra pada seorang perempuan
umur 32 tahun,dilakukan ektirpasi kista retensi pada sinus maksilaris dextra dengan bedah
sinus endoskopik fungsional yaitu dengan menggunakan teleskop 70
0
,pada hari ke 10 pasca
operasi penderita kontrol di poli THT,dengan tidak ada keluhan dihidung dan sudah tidak
sakit kepala. Hasil pemeriksaan patologi anatomi adalah kista retensi.

Kata kunci : Kista retensi sinus maksillaris,bedah sinus fungsional endoskopik













abstract

Cyst that present in maxillary sinus cavity is known as a retention cysts or a mucocel
on maxillary sinus cavity which contain mucoid fluid and is located at the bottom of the sinus
specifically at intraoral area, lateral wall, sinus cavity and sometimes involved neighboring
sinus cavity, the cyst wall is lined by pseudostratified ciliated columnar epithelium. The
etiology of this cyst is thought to usually occur following an injury or a trauma from a
premolars or molars extraction procedure which expand towards maxillary sinus,
postoperative sinus, nasal antrostomy, gunshot wounds and fractures of the maxillary
complex and can also be caused by infection, inflammatory reactions, fluid blockage or
genetic predisposition. There are two surgical techniques that can be done to treat this
condition which are classified as radical and non- radical surgery , in which the non- radical
surgery is preferred because it has a lot of advantages the complications that can occurred are
minimal. This case report is about a woman age 32 years old that present with retention cyst
located at right maxillary sinus, removal of the retention cyst located at the right maxillary
sinus is perfomed with functional endoscopic sinus surgery by using a telescope 70
0
, on day
10
th
of post-operative the patient is followed up at ENT polyclinic, with no nasal complaints
nor a headache. Pathological anatomy examination results shows the sample taken as a
retention cysts .
Keywords : Maxillary sinus retention cysts, functional endoscopic sinus surgery