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Open AccessInteresting Images

Transoral Marsupialization of an Isolated Surgical Ciliated Cyst of the Infratemporal Fossa

by Da-Woon Kwack, Jooha Yoon, Hae-Seo Park, Jung-Hwan Lee and Moon-Young Kim

Diagnostics 2023, 13(11), 1825; https://doi.org/10.3390/diagnostics13111825 - 23 May 2023

Cited by 2 | Viewed by 1842

Surgical ciliated cysts occur primarily in the maxilla after radical maxillary sinus surgery. We report the first case of a surgical ciliated cyst that developed in the infratemporal fossa 25 years after the patient sustained severe facial trauma. The patient complained of mandibular pain and limited mouth opening. The patient’s condition was completely resolved 5 months after marsupialization via Le Fort I osteotomy. Surgical morbidities can be minimized by proper diagnosis and less invasive surgery. Full article

(This article belongs to the Special Issue Advances in Oral Diseases Diagnosis and Management)

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15 pages, 7338 KiB

Open AccessCase Report

Large Grafting Void Resembling a Surgical Ciliated Cyst following Maxillary Sinus Augmentation. Four Case Reports with Histological Observation

by Won-Bae Park, Meghan Pandya, Ji-Young Han and Philip Kang

Medicina 2022, 58(9), 1300; https://doi.org/10.3390/medicina58091300 - 18 Sep 2022

Cited by 2 | Viewed by 2662

Abstract

The cause and pathogenicity of grafting voids following lateral maxillary sinus augmentation (MSA) have not yet been elucidated. The first purpose of this case series is to introduce an unusually large grafting void that radiologically resembles a surgical ciliated cyst (SCC) at the sinus augmented site; the second is to observe the histological findings of these grafting voids. In four patients, MSA was performed using the lateral window technique. An unusually large grafting void appeared on cone-beam-computed tomography (CBCT) taken one week after surgery and except for one patient, there were no clinical symptoms. On CBCT taken six months after surgery, the grafting voids were slightly smaller in size but showed radiographic findings similar to those of SCC. During uncovering, grafting voids were removed through the lateral window site. Histologically, the grafting void was empty or filled with dense connective tissue, and no ciliated columnar epithelium or inflammatory cells were observed. Within the limitations of this case series, the large grafting voids generated after MSA was not converted to SCCs. Rather, they remained scar tissue, which could infringe the sinus bone graft and affect the apical bone support of the implant. Full article

(This article belongs to the Special Issue Recent Advances in Periodontics and Dental Implantology)

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11 pages, 2653 KiB

Open AccessSystematic Review

Sinus Floor Augmentation—Associated Surgical Ciliated Cysts: Case Series and a Systematic Review of the Literature

by Adrian Kahn, Shlomo Matalon, Rahaf Bassam Salem, Lazar Kats, Liat Chaushu, Marilena Vered and Eyal Rosen

Appl. Sci. 2021, 11(4), 1903; https://doi.org/10.3390/app11041903 - 22 Feb 2021

Cited by 11 | Viewed by 3007

Abstract

This study aimed to characterize the demographic and clinical features of underreported surgical ciliated cysts developing after sinus floor augmentation, based on a series of cases from our files and a systematic review of the literature. A series of five cases (four patients) of microscopically confirmed surgical ciliated cysts following sinus floor augmentation procedures from our files are described. A systematic literature search (1991–2020) with strict clinical-, radiological- and microscopic-based exclusion and inclusion criteria was performed to detect additional similar cases. The systematic review revealed only five cases that fulfilled the inclusion criteria. Altogether, surgical ciliated cysts associated with sinus floor augmentation have been rarely reported in the literature, and have not been characterized either demographically or clinically. Graft materials were diverse, implants were placed simultaneously, or up to two years post-augmentation. The associated surgical ciliated cysts developed between 0.5 and 10 years post-augmentation. Although limited in its extent, this study is the first series to characterize possible underreported sequelae of surgical ciliated cysts associated with sinus floor augmentation. It emphasizes the need for long post-operative follow-up and confirmation of lesion by microscopic examination. Full article

(This article belongs to the Special Issue Predictable Restorative Dentistry)

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