Head and Neck Imaging

Mucous retention cyst

more or less rounded cyst, originating from an obstructed mucous gland in the mucosa. Such a cyst is a common incidental finding in the paranasal sinuses. The size is variable; usually the sinus is not completely filled by such a retention cyst, and no bone remodelling is visible. Radiologically, a mucous retention cyst cannot be differentiated from an inflammatory polyp.

Mucous retention cysts also occur in the mucosa of the pharynx and larynx; they are usually asymptomatic, but they may cause dysphagia or respiratory distress. A ranula may also be considered as a mucous retention cyst.

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