Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review
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 advancemen...
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| Language: | English |
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BMC
2025-04-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-05879-6 |
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| author | Zahra Khodadadi Mahdi Niknami Farzaneh Bolandparva Samira Derakhshan Zeinab Bakhtiari Mahboube Hasheminasab |
| author_facet | Zahra Khodadadi Mahdi Niknami Farzaneh Bolandparva Samira Derakhshan Zeinab Bakhtiari Mahboube Hasheminasab |
| author_sort | Zahra Khodadadi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a1aebc6325534cba9a9ae200f5cb80e2 |
| institution | OA Journals |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-a1aebc6325534cba9a9ae200f5cb80e22025-08-20T02:12:07ZengBMCBMC Oral Health1472-68312025-04-0125111110.1186/s12903-025-05879-6Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative reviewZahra Khodadadi0Mahdi Niknami1Farzaneh Bolandparva2Samira Derakhshan3Zeinab Bakhtiari4Mahboube Hasheminasab5Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahed University of Medical SciencesDepartment of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical SciencesDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical SciencesDepartment of Oral and Maxillofacial Pathology, School of Dentistry, Tehran University of Medical SciencesDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical SciencesDepartment of Periodontics and Preventive Dentistry, University of Pittsburgh School of Dental MedicineAbstract 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.https://doi.org/10.1186/s12903-025-05879-6Surgical ciliated cystOrthognathic surgeryCase report |
| spellingShingle | Zahra Khodadadi Mahdi Niknami Farzaneh Bolandparva Samira Derakhshan Zeinab Bakhtiari Mahboube Hasheminasab Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review BMC Oral Health Surgical ciliated cyst Orthognathic surgery Case report |
| title | Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review |
| title_full | Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review |
| title_fullStr | Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review |
| title_full_unstemmed | Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review |
| title_short | Post-orthognathic surgical ciliated cyst of the anterior maxilla: a case report and narrative review |
| title_sort | post orthognathic surgical ciliated cyst of the anterior maxilla a case report and narrative review |
| topic | Surgical ciliated cyst Orthognathic surgery Case report |
| url | https://doi.org/10.1186/s12903-025-05879-6 |
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