Ragsdale Bruce D, Laurent Jessica L, Janette Adam J, Epker Bruce N
Central Coast Pathology, San Luis Obispo, California 93401.
J Oral Maxillofac Pathol. 2009 Jan;13(1):30-4. doi: 10.4103/0973-029X.48754.
A cyst following implantation of respiratory epithelium during surgical procedures has been documented only rarely. A variety of names have been attached to this lesion: respiratory mucocele, respiratory implantation cyst, surgical ciliated cyst, and surgical (implantation) cyst. In seven prior case reports, the interval between the initiating surgical procedure and diagnostic biopsy of the resultant well-circumscribed radiolucency and histopathological demonstration of distinctive pseudostratified ciliated columnar epithelial lining has varied from 4 to 40 years. In the case reported here, chin augmentation used "residual maxillary bone" as the donor tissue and likely transplanted sinonasal mucosa into the mandible during orthognathic surgery, resulting in a painful anterior mandibular cyst lined by respiratory epithelium that was ablated 16 years later.
手术过程中植入呼吸道上皮后形成囊肿的情况仅有罕见报道。针对这种病变有多种命名：呼吸道黏液囊肿、呼吸道植入性囊肿、手术性纤毛囊肿以及手术（植入性）囊肿。在之前的7例病例报告中，从最初的手术操作到对最终形成的边界清晰的透光区进行诊断性活检以及对独特的假复层纤毛柱状上皮内衬进行组织病理学证实，这一间隔时间从4年到40年不等。在本文报道的病例中，隆颏术使用“剩余上颌骨”作为供体组织，在正颌手术过程中可能将鼻窦黏膜移植到了下颌骨，导致16年后出现一个由呼吸道上皮衬里的疼痛性下颌前部囊肿，随后该囊肿被切除。
