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Surgical ciliated cyst 12 years after Le Fort I maxillary advancement osteotomy: a case report and review of the literature
Author(s) -
Coviello V.,
Zareh Dehkhargani S.,
Patini R.,
Cicconetti A.
Publication year - 2017
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12246
Subject(s) - medicine , cyst , exophthalmos , maxillary sinus , surgery , lesion , osteotomy , dentistry
The surgical ciliated cyst, which is also known with the terms ‘post‐operative maxillary cyst (PMC)’ or ‘paranasal cyst’, was originally reported by Kubo in 1927[1][Kubo I, 1927] and well‐described in Japanese literature since the 1980s[2][Kaneshiro S, 1981], [3][Yamamoto H, 1986]. PMC is a locally aggressive lesion that appears as a long‐term delayed complication, arising from years to decades, after surgery or trauma in the maxillary sinus region such as midfacial osteotomies and fractures or orthognatic surgery[4][Amin M, 2003]. Although this cyst is rarely reported in Western population, it constitutes 20% of oral cysts in Japan[2][Kaneshiro S, 1981], [5][Bulut AŞ, 2010]. PMC usually appears as a swelling that may cause expansion of vestibular, palatine or both bone cortical plates, and pain in the adjacent facial area of buccal vertical releasing incisions; formation of fistulas has also been reported[6][Sugar AW, 1990], [7][Cano J, 2009]. In case of significant cyst growth, other symptoms may include nasal obstruction, rhinorrhea, dysomia, exophthalmos and ocular displacement[8][Sano N, 2012]. We report the only case of a surgical ciliated cyst that developed in a Caucasian patient 12 years after a Le Fort I maxillary advancement osteotomy.