Cases Of Surgical Ciliated Cysts Research Articles

SURGICAL CILIATED CYST: A CASE REPORT

This report describes a case of surgical ciliated cyst (SCC) in maxilla. A 25-year-old male patient was referred for diagnosis of a maxillary swelling with a duration of 6 months. During anamnesis, the patient reported having undergone orthognathic surgery 4 years ago. Imaging exams showed a unilocular radiolucent/hypodense lesion in the right maxilla associated with a rigid fixation plate. The main diagnostic hypothesis was radicular cyst. Therefore, excisional biopsy was performed under local anesthesia. Histopathologic examination revealed a cystic cavity lined mainly by ciliated pseudostratified columnar epithelium. Simple cuboidal epithelium was also observed. The fibrous connective tissue capsule was infiltrated by a moderate chronic inflammatory reaction. The histopathologic findings confirmed the diagnosis of SCC. No clinical or imaging signs of recurrence were observed after 4 years of treatment. SCC should be considered in the differential diagnosis of maxillary radiolucent images in patients who have previously undergone surgery.

Surgical Ciliated Cyst of the Posterior Maxilla in an Old Male, Mimicking Residual Cyst or Odontogenic Keratocyst: A Case Report

Surgical ciliated cysts of the maxilla arise from respiratory epithelium that lodges in the maxilla after radical maxillary or sinus surgery. This case report was conducted in 2020 in Mashhad Dental School, Mashhad University of Medical Science, Mashhad, Iran. We present here an unusual case of surgical ciliated cyst of a 73-year-old adult male patient with a history of nasal polyp surgery 40 years ago. Early diagnosis due to CBCT and Clinical examination was a residual cyst or OKC (odontogenic keratocyst). The histopathology result of this lesion surprised us after the excisional biopsy and enucleation. The clinical examinations and radiographs of the jaw lesions may lead the maxillofacial surgeons to misdiagnosis and mistreatment. Therefore, it is obligatory to notice all aspects of these lesions carefully.

Surgical Ciliated Cyst of the Maxilla: A Case-Series of Three Cases

The surgical ciliated cyst is an iatrogenic lesion occurring after surgeries in which the Schneiderian membrane has been exposed, such as in orthognathic surgery or maxillary sinus procedures. This lesion has been infrequently documented in western countries. In this case series, we present three cases of surgical ciliated cysts of the maxilla.

Surgical Ciliated Cysts in Orthognathic Surgery.

Surgical ciliated cysts (SCC) are rare entities that were first described in the Japanese literature after treatment for chronic maxillary sinusitis. Classically associated with surgery to the maxillary sinus, they have also been reported in association with orthognathic surgery, bone grafting, and trauma. These lesions can develop from a few months up to several years after the surgical procedure. The authors report 2 new cases of SCC after a LeFort I osteotomy for class III dentofacial deformity correction. One of them presented with bilateral lesions and suffered from a recurrence after 5 years, 2 rare events associated with SCC.A review of the literature of the past 5 years was undertaken, in order to ascertain the reported time of follow-up and recurrence. A PubMed search retrieved a total of 15 articles with 17 cases reported. Nine cases were associated with orthognathic surgery, 4 with Caldwell-Luc procedures, 2 with sinus lift and 2 with trauma. The mean follow-up after removal of the SCC was of 8.6 months. Four cases did not specify the follow up time; 1 case was lost to follow-up. No relapses were reported.Like what happens with the primary lesion, a recurrence can take place several years after removal. It is the authors' opinion that adequate long-term follow-up must be granted for a timely diagnosis and treatment of relapsed SCC.

Surgical ciliated cyst of the left maxilla - A case report of unusual pathogenesis

Introduction:Surgical ciliated cyst (SCC) is a type of true epithelial lined antral cysts, which mostly occurs in maxilla from the sinonasal mucosa and gland, comprising 20% of all oral cysts in Japan. It is also called as postoperative maxillary cyst or postoperative paranasal cyst. The etiology is believed to be post trauma or surgery in the region of maxillary antrum.Patient concerns:Patient's concern is less evident in this cystic pathology, because this cyst even though an aggressive cyst, presents with fewer symptoms that can be uncomfortable to the patient or push them to seek medical attention. Often, this becomes an incidental finding during routine postoperative follow-up.Rationale:The rationale behind this report is to emphasize even a traumatic extraction of tooth can damage the floor of the sinus and lead to the cyst formation.Report:We report a case of SCC in a 76-year-old female of the left maxillary sinus possibly after a traumatic extraction of the tooth, for which enucleation of the cyst was done as a primary modality of treatment.Diagnosis:Diagnosis was made after a computed tomography (CT) scan and incisional biopsy. Diagnosis of such rare cases poses a great challenge due to its paucity in etiology, and it often requires a CT scan that becomes an essential gold standard investigation.Outcomes:Patient is currently under one year follow up and without any signs of recurrence.Lessons:It should be acknowledged that tampering trauma or with sinus mucosa can trigger the formation of a SCC of the maxilla, and it should always be considered as a possible sequel after any procedure of such potential in the maxilla.

Report of a case of surgical ciliated cyst in the left maxillary sinus

Surgical ciliated cyst happens as a delayed complication in the maxillary sinus, and is more frequent in Asia in comparison with Western countries. We report a case of surgical ciliated cyst in maxillary sinus in a male patient after 30 years of surgery for sinusitis treatment. The patient had swelling and pain in the region, and his radiographic views showed a cystic lesion. Incisional biopsy was performed and surgical ciliated cyst was reported as diagnosis. Then, Enucleation with curettage was performed for him as treatment.

Report of a case of surgical ciliated cyst in the left maxillary sinus

Report of a case of surgical ciliated cyst in the left maxillary sinus

Um raro caso de cisto cirúrgico ciliado após 5 anos de extração dentária

The surgical ciliated cyst (SCC) usually occurs as a late complication after surgical intervention performed in the maxillary sinus where the voluntary breakup of the sinus membrane is accomplished by means of osteotomy. Then there is the entrapment of this membrane, leading to formation of a cystic lesion. It affects almost exclusively Asian patients. This article reports a rare case of SCC, which affected a patient african descent, after extraction of upper second molar, without disruption of the scheinederian membrane. The radiographic and histological features of the lesion were similar to those found in the literature. Treatment options are described in the literature: enucleation, marsupialization or even osteotomie Le Fort I, followed by primary closure. The selection criteria are based on location, size and aggressiveness of the lesion. In our case, enucleation was the treatment of choice and no recurrence was observed.

Surgical Ciliated Cysts May Mimic Radicular Cysts or Residual Cysts of Maxilla: Report of 3 Cases

Surgical ciliated cysts, or postoperative maxillary cysts, are benign cystic lesions induced after a surgical procedure in the maxillofacial area. It is a cystic lesion in the maxillary region that develops after radical sinus surgery to treat maxillary sinusitis. It is frequently reported in he Japanese literature, and most cases are related to revious Caldwell-Luc surgeries to treat maxillary sinustis. There are case reports of surgical ciliated cysts that eveloped after midface and bimaxillary orthognathic urgery, alveolar bone grafting, and maxillofacial trauma. It is believed that some cells of the respiratory ining are trapped during a surgical procedure or rauma. Subsequent cystic change of the trapped lining nd enlargement of the cyst from the osmotic difference ause destruction of adjacent bone and structures. As he cyst expands, it may affect the adjacent teeth. The linical scenario may be identical to a radicular cyst if a nonvital” tooth is involved. We present 3 cases of surgical ciliated cysts where the atients had previously undergone maxillary sinus sureries and later presented with cystic lesions in the axillary region similar to radicular cysts or residual ysts.

Ｌｅ Ｆｏｒｔ Ｉ型骨切り術後に生じたｓｕｒｇｉｃａｌ ｃｉｌｉａｔｅｄ ｃｙｓｔの１例

A case of surgical ciliated cyst after Le Fort I osteotomy is described. A 32-year-old man who had undergone Le Fort I osteotomy in 1992 was referred to our hospital because of swelling in the left cheek. Radiographic and computed tomographic examinations showed a unilocular cystic lesion in the left side of the maxilla. The lesion was diagnosed as a maxillary cyst. We treated the lesion surgically. The lesion and thin bony wall between the cystic cavity and maxillary sinus were removed, so that the bony cavity commuted with the inferior nasal meatus. The postoperative course was uneventful, and there was no evidence of recurrence 12 months after surgery. On the basis of the clinical course and histopathological findings of the surgical specimen (i.e., the cyst had a thick fibrous wall lined by stratified ciliated columnar or cuboidal epithelium), the lesion was diagnosed as a surgical ciliated cyst.

Surgical ciliated cyst after maxillary orthognathic surgery: Report of a case

J Oral Maxillofac Surg 61:138-141, 2003

Surgical ciliated cyst of maxilla - report of a case

The surgical ciliated cyst is a very rare cyst of the maxillary antrum and accounts for about 1.5% of all the oral cysts. This cyst occurs as a delayed complication after radical surgical intervention in the maxillary sinus. Many authors have suggested that this cyst occurs mainly in middle decades and presents as a nonspecific, poorly localized pain occurring in the maxilla. The treatment of choice is enucleation. Here we report a case of surgical ciliated cyst in a 27 yrs old female patient, in which the etiology is proposed to be traumatic extraction, which is quiet rare.