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老年男性上颌骨后部的外科纤毛囊肿,酷似残余囊肿或牙源性角化囊肿:一例报告

Surgical Ciliated Cyst of the Posterior Maxilla in an Old Male, Mimicking Residual Cyst or Odontogenic Keratocyst: A Case Report.

作者信息

Peighoun Maryam, Samieirad Sahand, Mohtasham Noushin, Tohidi Elahe, Moeini Shahin

机构信息

Department of Endodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Oral and Maxillofacial Diseases Research Center, Mashhad University of medical sciences, Mashhad, Iran.

出版信息

World J Plast Surg. 2022 Mar;11(1):132-137. doi: 10.52547/wjps.11.1.132.

Abstract

Surgical ciliated cysts of the maxilla arise from respiratory epithelium that lodges in the maxilla after radical maxillary or sinus surgery. This case report was conducted in 2020 in Mashhad Dental School, Mashhad University of Medical Science, Mashhad, Iran. We present here an unusual case of surgical ciliated cyst of a 73-year-old adult male patient with a history of nasal polyp surgery 40 years ago. Early diagnosis due to CBCT and Clinical examination was a residual cyst or OKC (odontogenic keratocyst). The histopathology result of this lesion surprised us after the excisional biopsy and enucleation. The clinical examinations and radiographs of the jaw lesions may lead the maxillofacial surgeons to misdiagnosis and mistreatment. Therefore, it is obligatory to notice all aspects of these lesions carefully.

摘要

上颌骨手术性纤毛囊肿起源于在上颌骨根治性手术或鼻窦手术后滞留在上颌骨内的呼吸道上皮。本病例报告于2020年在伊朗马什哈德医科大学马什哈德牙科学院进行。我们在此呈现一例不寻常的手术性纤毛囊肿病例,患者为一名73岁成年男性,有40年前鼻息肉手术史。因CBCT和临床检查早期诊断为残余囊肿或牙源性角化囊肿(OKC)。切除活检和摘除术后该病变的组织病理学结果令我们惊讶。颌骨病变的临床检查和影像学检查可能导致颌面外科医生误诊和误治。因此,必须仔细注意这些病变的各个方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0e/9018026/4f3aa50a1134/wjps-11-132-g001.jpg

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