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.

Cutaneous ciliated cyst: A case report

Cutaneous ciliated cyst are relatively rare benign lesions, found in the dermis or subcutis of the lower extremities of young females in their second and third decades. The cysts are typically lined by ciliated cuboidal to columnar epithelium, showing pseudostratified areas and focal squamous metaplasia is occasionally present. Immunohistochemical studies have demonstrated that the cysts can be PR and ER positive, similar to the epithelia of the fallopian tubes. The pathogenesis of the cyst is yet being studied, some hypotheses have been proposed including the Mullerian heterotopias, ciliated metaplasia of eccrine sweat glands, and embryonic remnants of the cloacal membrane. We report a cutaneous ciliated cyst over the right gluteus area in a 29 year old female. On histologic examination, the cyst was lined by ciliated columnar epithelium, showing occasional papillary projections.

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

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.”

Middle raphe ciliated cyst such as differential diagnosis of perianal tumor

Resumen Las lesiones perianales son unas de las patologías más frecuentes y con mayor variedad de espectros clínicos en cirugía. El quiste ciliado del rafé medio es una lesión congénita benigna muy rara que se presenta principalmente en el pene, pero puede desarrollarse en cualquier lugar de la línea media entre el meato uretral y el ano. Se presenta un caso de quiste ciliado del rafé medio de localización perianal dada su escasa incidencia y descripciones en la literatura, reseñando sus características principales y diagnósticos diferenciales.

Cisto maxilar pós-operatório: relato de caso

Introdução: ­­Cisto cirúrgico ciliado ou cisto maxilar pós-operatório é uma lesão que ocorre próximo ao ápice dos dentes, porém é originária do epitélio do seio maxilar. É definido como um sequestro da membrana do seio que fica aprisionado e se prolifera, gerando uma cavidade cística verdadeira. Tem aspecto radiográfico semelhante ao cisto radicular, sendo unilocular de centro radiolúcido e bordas radiopacas bem delimitadas. O tratamento é a remoção do epitélio, sendo recomendada a enucleação cirúrgica do cisto. Raramente é relatado recorrências da lesão. Objetivo: relatar um caso clínico e a conduta adotada para resolução do caso de cisto maxilar pós-operatório. Relato de Caso: A paciente de gênero feminino, 59 anos, leucoderma, edentada total, procurou a clínica de odontologia da Universidade Estadual do Oeste do Paraná para confecção de novas próteses totais superiores e inferiores. No exame radiográfico panorâmico, constatou-se uma lesão unilocular em maxila direita. Clinicamente não apresentava nenhuma alteração e nenhuma sintomatologia. Foi realizada a punção da lesão, sob anestesia local, que revelou conteúdo seroso. Em seguida, a lesão foi enucleada. Não houve comunicação com o seio maxilar. A paciente permaneceu em acompanhamento clínico e radiográfico por 3 anos apresentando reparação total da loja sem sinais de recidiva. Conclusão: O acompanhamento à longo prazo é essencial em casos de lesões intraósseas. Mesmo pacientes edêntulos necessitam de exames de imagens para avaliação inicial, descartando alterações intraósseas.Descritores: Cirurgia Bucal; Cistos Ósseos; Seio Maxilar.ReferênciasLi CC, Feinerman DM, MacCarthy KD, Woo SB. Rare mandibular surgical ciliated cysts: report of two new cases. J Oral Maxillofac Surg. 2014;72(9):1736-43.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 3. ed. Rio de Janeiro: Elsevier; 2009.Shafer WG, Hine MK, Levy BM, Tomich CE. Tratado de Patologia Bucal. 4. ed. 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