School of Dental Medicine and CHU de Toulouse, Toulouse Institute of Oral Medicine and Oral Surgery, Toulouse, France.
Université Toulouse III - Paul Sabatier, Toulouse, France.
Oral Dis. 2024 Jul;30(5):2858-2864. doi: 10.1111/odi.14795. Epub 2023 Oct 26.
Surgical ciliated cysts occur mainly in the maxillae after radical maxillary sinus surgery; they rarely develop in the mandible. This study aims to gather information on all the characteristics of patients suffering from mandibular surgical ciliated cysts. This article also reports two new cases.
PubMed, Google Scholar and the International Clinical Trials Registry Platform were explored until 13 December 2022 for articles regarding mandibular surgical ciliated cysts. Maxillary ciliated cysts were excluded.
Fourteen original articles were included in a total of 16 cases. Maxillofacial surgeries are the first aetiology (94.4%). Surgical ciliated cysts of the mandibular region show a 1.25:1 male-to-female ratio with a protracted time to diagnosis (range: 2-56 years). Most patients are symptomatic (77.8%). Typically, radiology shows a radiolucency lesion (88.9%) and histology describes pseudostratified ciliated columnar epithelium. Enucleation has always been described as the treatment.
All results were case reports, thus a low level of evidence studies. Mandibular surgical ciliated cysts should be considered in patients presenting a mandibular swelling or radiolucency lesion with a maxillofacial surgery history. Meticulous surgical techniques can aid in the prevention of this lesion.
外科纤毛囊肿主要发生在根治性上颌窦手术后的上颌骨中；它们很少在下颌骨中发展。本研究旨在收集所有患有下颌外科纤毛囊肿的患者的特征信息。本文还报告了两例新病例。
在 2022 年 12 月 13 日之前，我们在 PubMed、Google Scholar 和国际临床试验注册平台上搜索了所有关于下颌外科纤毛囊肿的文章。排除了上颌纤毛囊肿。
共纳入 14 篇原始文章，总计 16 例。颌面外科手术是第一个病因（94.4%）。下颌区的外科纤毛囊肿显示出 1.25:1 的男女比例，诊断时间较长（范围：2-56 年）。大多数患者有症状（77.8%）。典型的影像学表现为透亮性病变（88.9%），组织学描述为假复层纤毛柱状上皮。一直以来，切除术都被描述为治疗方法。
所有结果均为病例报告，因此证据水平较低。对于有颌面外科手术史并出现下颌肿胀或透亮性病变的患者，应考虑下颌外科纤毛囊肿。精细的手术技术有助于预防这种病变。
