Tender swelling of the chin 40 years after genioplasty

Kelly, Jill; Malik, Salman Akbar; Stucki-McCormick, Suzanne U.

doi:10.1016/s0278-2391(00)90340-9

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…From an initial literature review, we postulated that chin augmentation using sinonasal bone and/or cartilage as the donor tissue likely transplanted the mucosa into the mandible during orthognathic surgery. [12–6] Subsequently, records of the original surgery in 1992, supplied by one of the authors who was at the procedure, (BNE), confirmed that hypothesis.…”

Section: Discussionmentioning

confidence: 91%

“…[6] Aufricht himself warned against leaving any attached mucosa on bone or cartilage harvested from the nose. Others agree that this unusual complication can be avoided by removal of all adherent nasal mucosa from the graft.…”

Section: Discussionmentioning

confidence: 99%

“…In only one of the seven reported cases, the cyst was located anterior to the bone, leaving the underlying osseous structure intact. [6] Decades may pass before the cyst is detected, as illustrated by cases C and G in Table 1. [67] Their clinical presentation ranges from asymptomatic to an indolent enlargement until it becomes an “aesthetic hindrance”[4] or acute swelling for several days, due to secondary infection.…”

Section: Discussionmentioning

confidence: 99%

“…[6] Decades may pass before the cyst is detected, as illustrated by cases C and G in Table 1. [67] Their clinical presentation ranges from asymptomatic to an indolent enlargement until it becomes an “aesthetic hindrance”[4] or acute swelling for several days, due to secondary infection. [7] Their common histopathological feature is the distinctive ciliated respiratory-type mucosa.…”

Section: Discussionmentioning

confidence: 99%

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Respiratory implantation cyst of the mandible following orthognathic surgery

Ragsdale¹,

Laurent²,

Janette³

et al. 2009

J Oral Maxillofac Pathol

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A cyst following implantation of respiratory epithelium during surgical procedures has been documented only rarely. A variety of names have been attached to this lesion: respiratory mucocele, respiratory implantation cyst, surgical ciliated cyst, and surgical (implantation) cyst. In seven prior case reports, the interval between the initiating surgical procedure and diagnostic biopsy of the resultant well-circumscribed radiolucency and histopathological demonstration of distinctive pseudostratified ciliated columnar epithelial lining has varied from 4 to 40 years. In the case reported here, chin augmentation used “residual maxillary bone” as the donor tissue and likely transplanted sinonasal mucosa into the mandible during orthognathic surgery, resulting in a painful anterior mandibular cyst lined by respiratory epithelium that was ablated 16 years later.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Respiratory implantation cyst of the mandible following orthognathic surgery

Ragsdale¹,

Laurent²,

Janette³

et al. 2009

J Oral Maxillofac Pathol

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“…The term "postoperative maxillary cyst" or "SCC" refers to a delayed complication arising years after surgery involving the maxillary sinus. They are most commonly associated with a history of surgery for maxillary sinusitis, particularly Caldwell-Luc procedure, but may also result from gunshot injuries, fractures of the malar-maxillary complex, midface osteotomies and after orthognathic surgery and traumatic tooth extraction in the mandible [12,15,[17][18][19][20][21][22][23]. A comprehensive patient medical record is of particular importance in guiding towards the nal diagnosis, as it played a signi cant role in the diagnosis of the three cases here presented.…”

Section: Discussionmentioning

confidence: 99%

Surgical Ciliated Cyst Secondary to Orthognathic Surgery: Report of three cases and review of the literature

Díez-Montiel

Armentia

Antúnez-Conde

et al. 2021

Preprint

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Background: Surgical ciliated cysts (SCC) of the maxilla appear as a delayed complication after surgery in the maxillary sinus, midface osteotomies, traumatic tooth extraction, and maxillary fractures. They are defined as a lytic lesion with entrapment of the pseudostratified columnar epithelium.Report of three cases: We present three patients in which after orthognathic surgery a slowly enlarging asymptomatic swelling mass was developed. On CT, all the cases presented lytic expansive lesions in the alveolar ridge. In the three cases, lesions were completely excised, and upon histological examination, ciliated pseudostratified columnar epithelium with goblet cells was found so they were diagnosed as SCC. An exhaustive review of the medical literature was conducted. The PubMed database was searched for PubMed Central (PMC). 44 references were found, reporting 1555 cases: 11 series and 33 case reports, being the largest series from the Asian countries. The mean age was 46.5 years, and more frequently described in male patients. The most frequent form of presentation was as unilateral unilocular cysts in the posterior maxilla. They were described most frequently after a Caldwell-Luc approach. The average latency time was of 19.9 years.Conclusion: SCC is a rare complication after orthognathic surgery, but large series have been published, so maybe it could be interesting to include these cysts in the next Edition of the World Health Organization Classification of the Head and Neck Tumors: Odontogenic and Maxillofacial Bone Tumors, making clear the difference between SCC and mucoceles to avoid future confusions.

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