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上颌牙齿拔除术后上颌囊肿:一种罕见的手术困境。

Postoperative Maxillary Cyst Following Maxillary Tooth Extraction: A Rare Surgical Predicament.

作者信息

Dey Shrabasti, Majumdar Swapan K, Das Asish K, Burman Subhasish, Chattopadhyay Abira

机构信息

Oral and Maxillofacial Surgery, Dr. R. Ahmed Dental College and Hospital, Kolkata, IND.

出版信息

Cureus. 2024 Aug 7;16(8):e66407. doi: 10.7759/cureus.66407. eCollection 2024 Aug.

DOI:10.7759/cureus.66407
PMID:39246858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380627/
Abstract

A postoperative maxillary cyst (POMC) is an epithelium-lined cyst that can develop following surgery or trauma in the maxillary antral region. This condition arises from the entrapment of the sinonasal mucosa in the maxilla, and rarely in the mandible, due to trauma or instrumentation near the maxillary sinus. Literature indicates that POMCs, or surgical ciliated cysts, can appear as delayed complications from five months to 56 years after trauma or surgical procedures in the sinus area. Despite its potential for aggressive local destruction, it often presents incidentally with minimal symptoms. This clinical case report describes the occurrence of such a cyst in a 30-year-old male and discusses the diagnosis and management of this rare pathology.

摘要

上颌术后囊肿(POMC)是一种内衬上皮的囊肿,可在颌窦区域手术后或创伤后形成。这种情况是由于鼻窦黏膜在创伤或上颌窦附近进行器械操作时被上颌骨包裹所致,很少发生在下颌骨。文献表明,POMC或手术性纤毛囊肿可作为鼻窦区域创伤或手术后5个月至56年出现的延迟并发症。尽管它有局部侵袭性破坏的可能性,但通常症状轻微,多为偶然发现。本临床病例报告描述了一名30岁男性发生这种囊肿的情况,并讨论了这种罕见病理的诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8dee7d12815a/cureus-0016-00000066407-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/7ddb99f90b8e/cureus-0016-00000066407-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8d5d40dc74d2/cureus-0016-00000066407-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/85ba79ae2d81/cureus-0016-00000066407-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8967e855928c/cureus-0016-00000066407-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/0958b0281efd/cureus-0016-00000066407-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8dee7d12815a/cureus-0016-00000066407-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/7ddb99f90b8e/cureus-0016-00000066407-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8d5d40dc74d2/cureus-0016-00000066407-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/85ba79ae2d81/cureus-0016-00000066407-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8967e855928c/cureus-0016-00000066407-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/0958b0281efd/cureus-0016-00000066407-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/677e/11380627/8dee7d12815a/cureus-0016-00000066407-i06.jpg

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本文引用的文献

1
Surgical ciliated cysts of the mandible: A systematic review of case reports.下颌骨的外科纤毛性囊肿:病例报告的系统回顾。
Oral Dis. 2024 Jul;30(5):2858-2864. doi: 10.1111/odi.14795. Epub 2023 Oct 26.
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Surgical ciliated cyst of the mandible after orthognathic surgery: a case report with review of the literature.正颌外科手术后下颌骨的外科纤毛囊肿:一例病例报告并文献复习
Maxillofac Plast Reconstr Surg. 2022 Aug 1;44(1):26. doi: 10.1186/s40902-022-00356-4.
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Surgical Ciliated Cyst of the Left Maxilla - A Case Report of Unusual Pathogenesis.
左上颌骨手术性纤毛囊肿——一例发病机制异常的病例报告
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):479-483. doi: 10.4103/ams.ams_284_20. Epub 2020 Dec 23.
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Postoperative maxillary cyst.术后上颌囊肿。
Indian J Dent Res. 2020 Jan-Feb;31(1):157-159. doi: 10.4103/ijdr.IJDR_259_18.
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Thickness of the Schneiderian membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: a retrospective study.使用锥形束计算机断层扫描(CBCT)评估上颌窦黏膜厚度及其与解剖结构和人口统计学参数的相关性:一项回顾性研究。
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Surgical ciliated cysts may mimic radicular cysts or residual cysts of maxilla: report of 3 cases.外科性纤毛囊肿可能酷似上颌骨的根端囊肿或残余囊肿:3例报告
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Patholog Res Int. 2010 Nov 4;2010:810835. doi: 10.4061/2010/810835.
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The post-operative maxillary cyst. Experience with 23 cases.术后上颌囊肿。23例经验。
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Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies.面中部截骨术后的外科性纤毛(术后上颌)囊肿。
Br J Oral Maxillofac Surg. 1990 Aug;28(4):264-7. doi: 10.1016/0266-4356(90)90064-r.