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

Cordero‑Garcia,Teresa; Lozano‑Rosado,Rodrigo; Fontillon‑Alberdi,Maria; Gutierrez‑Perez,Jose-Luis; Infante‑Cossio,Pedro

doi:10.3892/etm.2023.12042

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

Authors:
- Teresa Cordero‑Garcia
- Rodrigo Lozano‑Rosado
- Maria Fontillon‑Alberdi
- Jose-Luis Gutierrez‑Perez
- Pedro Infante‑Cossio
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Affiliations: Department of Oral and Maxillofacial Surgery, Virgen Del Rocio University Hospital, University of Seville, 41013 Seville, Spain, Department of Pathology, Virgen Del Rocio University Hospital, University of Seville, 41013 Seville, Spain
Published online on: May 23, 2023 https://doi.org/10.3892/etm.2023.12042
Article Number: 343

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Abstract

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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