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正颌外科手术后上颌前部纤毛囊肿：一例报告及文献综述

Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review.

作者信息

Khodadadi Zahra, Niknami Mahdi, Bolandparva Farzaneh, Derakhshan Samira, Bakhtiari Zeinab, Hasheminasab Mahboube

机构信息

Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahed University of Medical Sciences, Tehran, Iran.

Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Oral Health. 2025 Apr 11;25(1):537. doi: 10.1186/s12903-025-05879-6.

DOI:10.1186/s12903-025-05879-6
PMID:40217277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11987363/
Abstract

BACKGROUND

Post-orthognathic surgical ciliated cyst (POSCC) is a benign, acquired cystic lesion associated with a history of orthognathic surgery, maxillofacial trauma, and similar events. This study presents a case of a maxillary POSCC that developed five years after a Le Fort I advancement osteotomy.

CASE PRESENTATION

A 25-year-old male patient developed a painless, gradually fluctuant swelling in the anterior maxillary area following previous surgical treatment. Radiographic investigations revealed a unilocular radiolucent lesion from the left to right premolars, encompassing the apices of the teeth with a scalloped border. With clinicopathological correlation and consideration of the patient's history, the diagnosis of surgical ciliated cyst was confirmed. Decompression followed by lesion excision was performed for the patient. A one year follow-up showed no recurrence or complications.

CONCLUSION

Although POSCC is a rare complication following surgery involving the maxillary bone and sinus, it can lead to large lesions with extensive growth. Long-term radiographic follow up is highly recommended after Le Fort osteotomy.

摘要

背景

正颌外科手术后纤毛囊肿（POSCC）是一种良性获得性囊性病变，与正颌外科手术、颌面创伤及类似事件相关。本研究报告1例上颌POSCC病例，该病例在Le Fort I型前徙截骨术后5年发生。

病例报告

一名25岁男性患者在先前手术治疗后，上颌前部区域出现无痛性、逐渐增大的波动性肿胀。影像学检查显示，从左侧到右侧前磨牙区有一个单房性透射性病变，包绕牙齿根尖，边界呈扇贝状。结合临床病理并考虑患者病史，确诊为外科纤毛囊肿。对该患者进行了减压及病变切除手术。一年的随访显示无复发或并发症。

结论

虽然POSCC是上颌骨和鼻窦手术后罕见的并发症，但可导致大的病变并广泛生长。Le Fort截骨术后强烈建议进行长期影像学随访。

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本文引用的文献

1
Maxillary Postsurgical Ciliated Cysts (PSCCs): A Series of Three Cases.上颌手术后纤毛囊肿（PSCCs）：三例系列报道
Case Rep Dent. 2024 May 17;2024:5584515. doi: 10.1155/2024/5584515. eCollection 2024.
2
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.
3
Surgical ciliated cyst of the maxilla after orthognathic surgery: A case report.正颌外科手术后上颌骨的外科纤毛囊肿：一例报告。
Exp Ther Med. 2023 May 23;26(1):343. doi: 10.3892/etm.2023.12042. eCollection 2023 Jul.
4
Transoral Marsupialization of an Isolated Surgical Ciliated Cyst of the Infratemporal Fossa.经口袋形缝合术治疗孤立性颞下窝手术性纤毛囊肿
Diagnostics (Basel). 2023 May 23;13(11):1825. doi: 10.3390/diagnostics13111825.
5
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 after a mandibular surgery: a particular case report and review of the literature.下颌手术后的手术性纤毛囊肿：一个特殊病例报告并文献复习。
BMC Oral Health. 2021 Dec 9;21(1):633. doi: 10.1186/s12903-021-01991-5.
7
Maxillary surgical ciliated cysts following advancement Le Fort I osteotomy with concomitant autogenous bone grafting: a simple coincidence or a cause-effect relationship?上颌骨Le Fort I型截骨术同期自体骨移植术后的上颌外科纤毛囊肿：单纯巧合还是因果关系？
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8
Surgical Ciliated Cysts in Orthognathic Surgery.正颌外科中的手术性纤毛囊肿。
J Craniofac Surg. 2021;32(1):e2-e5. doi: 10.1097/SCS.0000000000006805.
9
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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Surgical ciliated cyst after maxillary orthognathic surgery: a literature review and case report.上颌正颌手术后的外科纤毛囊肿：文献综述与病例报告
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