Surgical ciliated cyst of the mandible after orthognathic surgery: a case report with review of the literature

Youn, Sungbin; Oh, Hyukjun; Yoon, Hye‐Jung; Seo, Byoung Moo

doi:10.1186/s40902-022-00356-4

Cited by 7 publications

(7 citation statements)

References 16 publications

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“…Over time, these trapped cells can undergo cystic degeneration and, subsequently, expansion caused by the osmotic difference with locoregional tissue (11). In the mandible, respiratory epithelium transplantation has been associated with the use of nasal osteocartilage graft and maxillary bone graft used to stabilize genioplasty (12,13). These cysts could also arise from accidental transport of the sinus mucosa on the saw blade during bimaxillary surgeries (14).…”

Section: Discussionmentioning

confidence: 99%

Surgical ciliated cyst of the maxilla after orthognathic surgery: A case report

Cordero‑Garcia,

Lozano‑Rosado,

Fontillon‑Alberdi

et al. 2023

Exp Ther Med

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Surgical ciliated cysts are rare benign cystic lesions that generally occur a number of years after invasive surgical procedures or trauma involving the maxilla. The appearance of this cyst after orthognathic surgery is a complication that has rarely been reported. It usually shows as a well-defined radiolucency in the maxilla in young adults mimicking other maxillary cysts. Therefore, an exhaustive clinical-radiological diagnosis is needed to establish its differential diagnosis and appropriate treatment. The present study describes the case of a surgical ciliated cyst that appeared 20 years after LeFort I orthognathic surgery. Treatment consisted of complete enucleation with primary closure and removal of osteosynthesis material. Histopathological examination confirmed the diagnosis of a maxillary cyst lined with pseudostratified ciliated columnar cells. Clinicians should be aware of this rare type of cyst in patients with a history of maxillary surgery or trauma to establish a differential diagnosis and ensure appropriate management.

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Section: Discussionmentioning

confidence: 99%

Surgical ciliated cyst of the maxilla after orthognathic surgery: A case report

Cordero‑Garcia,

Lozano‑Rosado,

Fontillon‑Alberdi

et al. 2023

Exp Ther Med

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“…Only 12 such clinical cases have been reported. 9 Treatment of a surgical ciliated cyst involves simple enucleation, as with POMC, and shows a low recurrence rate. Since all related surgeries were denied according to the patient, the causes of the lesions in the mandible with subsequent recurrence remain unclear.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical ciliated cyst, which is pathologically very similar to POMC, is very rare and typically occurs in areas of the maxilla that have experienced previous surgical intervention (orthognathic surgery, rhinoplasty, or plastic surgery). Only 12 such clinical cases have been reported 9. Treatment of a surgical ciliated cyst involves simple enucleation, as with POMC, and shows a low recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“…5 There is no consensus regarding mandibular bone surgical margins that should be planned to ensure a safe oncologic outcome. In 1988, McGregor and MacDonald 6 recommended planning a clinical resection of 0.5 to 1.0 cm of unaffected bone around the tumor and, more recently, 3 separate groups-Namin et al, 7 Wysluch et al, 8 and Weitz et al 9 -report resection of at least 1.0 cm of uninvolved bone, as measured from either macroscopic tumor or suspected bone involvement. In the preoperative assessment, a computerized tomography (CT) scan, a positron emission tomography CT and eventually an magnetic resonance imaging are performed.…”

Section: Surgical Margins In 3d Planned Mandibular Resections For Squ...mentioning

confidence: 99%

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Transantral Approach With an Optical Navigation System for Cystic Lesions at the Pterygoid Process

Cho

Han

Kwon

et al. 2022

Journal of Craniofacial Surgery

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A 48-year-old woman with hypernasality symptoms and discomfort in the right maxillary area was diagnosed with cystic lesions at the pterygoid process and linguoposterior mandible area. Cyst enucleation was performed through a transantral approach with an optical navigation system. A bony window on the anterior sinus wall was created, and an optical navigation system was used to locate the cystic lesions. After the cystic mass was removed, the bony window was repositioned with prebent plates. Both cystic lesions were diagnosed as postoperative maxillary cysts, and no other complications were observed.

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“…Ciliated cyst development in the mandible is exceptionally rare, with fewer than 20 cases reported to date [27]. Simultaneous surgical procedures involving both the maxilla and mandible, utilizing the same instruments, have been implicated in the mandibular PSCC development [28].…”

mentioning

confidence: 99%

Maxillary Postsurgical Ciliated Cysts (PSCCs): A Series of Three Cases

Sfondrini,

Pagella,

Pellegrini

et al. 2024

Case Reports in Dentistry

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Introduction. A postsurgical ciliated cyst (PSCC) is an epithelial cyst that usually develops in the maxilla, although in rare cases, it can affect the mandible or other facial bones. The typical age of diagnosis is 40-50 years, with no gender prevalence, and the mean cyst development occurs approximately 10-15 years following a surgical or traumatic event. Some epithelial respiratory cells can be trapped into the bone tissue during maxillary surgical procedures or maxillary fractures. The pathogenetic mechanism can be attributed to an inflammatory process that stimulates epithelial proliferation, leading to cyst expansion caused by osmotic pressure difference. Methods. This study presents case series involving three surgical ciliated cysts located in the left maxilla, affecting two female patients (aged 49 and 55 years) and one male patient (aged 39 years). In all three cases, symptoms such as pain or swelling were mild and not consistently present. Two cases showed cyst development 10 and 15 years after implant placement, while one case was not associated with any surgical or traumatic event. CT scan identified well-defined unilocular lesions in the maxillary bone in each patient. Results. Histopathological examination of the surgical specimens confirmed the suspected diagnosis of a PSCC of maxilla. The cystic walls consisted of fibrous connective tissue with chronic inflammatory infiltrate, lined exclusively by a thin layer of ciliated pseudostratified columnar epithelium. In the third patient, it was not possible to rule out an unusual radicular cyst. Conclusions. Although PSCCs are not commonly encountered in daily practice, clinicians should consider this possibility including it in the differential diagnosis of odontogenic jaw cysts and benign jaw tumors, particularly in patients who have undergone previous surgeries in the maxillary area.

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Surgical ciliated cyst of the mandible after orthognathic surgery: a case report with review of the literature

Cited by 7 publications

References 16 publications

Surgical ciliated cyst of the maxilla after orthognathic surgery: A case report

Surgical ciliated cyst of the maxilla after orthognathic surgery: A case report

Transantral Approach With an Optical Navigation System for Cystic Lesions at the Pterygoid Process

Maxillary Postsurgical Ciliated Cysts (PSCCs): A Series of Three Cases

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