Mandibular respiratory cysts following orthognathic surgery: 2 rare case reports

Syyed, N.; Mason, Robert J.; Thomson, E.R.E.; Downie, Jocelyn

doi:10.1016/j.ijsu.2018.05.316

Cited by 5 publications

(6 citation statements)

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“…After performing a literature review on the surgical ciliated cyst of the mandible, we found 12 clinical cases [2,[8][9][10][11][12][13][14][15] (Table 1). The age of patients ranged from 33 to 59 years (mean: 36.9 ± 13 years), and males and females were equally affected.…”

Section: Discussionmentioning

confidence: 99%

Surgical ciliated cyst after a mandibular surgery: a particular case report and review of the literature

et al. 2021

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Background Surgical ciliated cyst is a rare clinicopathological lesion that appears in patients who undergo maxillofacial surgery. In this report we present a particular mandibular case and we discuss the etiopathogenesis and clinicopathological features of this pathology after reviewing the current literature, as well as the origin of its respiratory epithelial profile. Case presentation The patient is a 67-year-old male with an irregular radiolucency in a previously tooth extracted area of the mandible. The histopathological study revealed a cystic lesion with a connective wall with chronic inflammation, partially lined by a ciliated pseudostratified epithelium. PAS and CK19 stains showed the respiratory characteristics of this epithelium and confirmed the final diagnosis of mandibular surgical ciliated cyst. Conclusions Surgical ciliated cyst is an uncommon entity associated with maxillofacial surgical procedures with bone and nasal cartilage grafts. In our case, treatment with growth factors present in platelet-rich plasma could explain the respiratory changes observed in the cystic epithelial lining.”

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Section: Discussionmentioning

confidence: 99%

Surgical ciliated cyst after a mandibular surgery: a particular case report and review of the literature

et al. 2021

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“…Various other causes are maxillary osteotomies (5.5%), odontologic events (9%),[ 11 ] fracture, angiofibromas, sinus lift procedures,[ 6 ] and trauma. [ 12 ] The lesion is believed to be caused by sinus or nasal mucosa entrapment in the bone healing process after an osteotomy in the area.…”

Section: Discussionmentioning

confidence: 99%

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

Ramakrishnan¹,

Wahab²,

Dhasarathan³

et al. 2020

Ann Maxillofac Surg

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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.

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“…In 1994, Nastri and Hookey (1994) described for the first time a mandibular localization. Since then, 14 publications about mandibular surgical ciliated cysts have been published for a total of 16 cases (Anastassov & Lee, 1999; Bourgeois & Nelson, 2005; Cai et al., 2015; Drmeddent & Schwartz, 2001; Kelly et al., 2000; Koutlas et al., 2002; Lafuente‐Ibáñez de Mendoza et al., 2021; Lazar et al., 2006; Li et al., 2014; Ragsdale et al., 2009; Seifi et al., 2016; Syyed et al., 2018; Youn et al., 2022). This article reports the 17th and 18th cases of mandibular surgical ciliated cysts in twin sisters who underwent genioplasty with concomitant rhinoplasty 30 years earlier.…”

Section: Introductionmentioning

confidence: 99%

Surgical ciliated cysts of the mandible: A systematic review of case reports

Brisset,

Cambronne,

Ferrer

et al. 2023

Oral Diseases

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BackgroundSurgical ciliated cysts occur mainly in the maxillae after radical maxillary sinus surgery; they rarely develop in the mandible. This study aims to gather information on all the characteristics of patients suffering from mandibular surgical ciliated cysts. This article also reports two new cases.MethodsPubMed, Google Scholar and the International Clinical Trials Registry Platform were explored until 13 December 2022 for articles regarding mandibular surgical ciliated cysts. Maxillary ciliated cysts were excluded.ResultsFourteen original articles were included in a total of 16 cases. Maxillofacial surgeries are the first aetiology (94.4%). Surgical ciliated cysts of the mandibular region show a 1.25:1 male‐to‐female ratio with a protracted time to diagnosis (range: 2–56 years). Most patients are symptomatic (77.8%). Typically, radiology shows a radiolucency lesion (88.9%) and histology describes pseudostratified ciliated columnar epithelium. Enucleation has always been described as the treatment.DiscussionAll results were case reports, thus a low level of evidence studies. Mandibular surgical ciliated cysts should be considered in patients presenting a mandibular swelling or radiolucency lesion with a maxillofacial surgery history. Meticulous surgical techniques can aid in the prevention of this lesion.

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Mandibular respiratory cysts following orthognathic surgery: 2 rare case reports

Cited by 5 publications

References 0 publications

Surgical ciliated cyst after a mandibular surgery: a particular case report and review of the literature

Surgical ciliated cyst after a mandibular surgery: a particular case report and review of the literature

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

Surgical ciliated cysts of the mandible: A systematic review of case reports

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