Dr. A. asks:I have a patient with missing molars on the right side of the maxilla. Upon evaluation of his CT scan I discovered a lesion consistent in appearance with mucous retention cyst.
The lesion occupies over 50% of the right maxillary sinus. I referred the patient for surgical removal of the lesion with ENT specialist. The ENT refused to do the surgery. She stated that according to ENT guidelines this kind of lesion does not require any treatment if asymptomatic, and that success of sinus graft will not be at any risk as a result of present problem since the nature of the lesion is not infectious.
I didn't found any literature addressing this issue and would like to have an expert opinion or referral to some publication.