SURGICAL CILIATED CYST: A CASE REPORT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 134; no. 3; p. e154
• Main Authors: Da Silva Leonel, Augusto César Leal, Bezerra, Hélen Kaline Farias, Cruz, Vitória Maria Sousa, Leite, Éder Gerardo Dos Santos, De Castro, Jurema Freire Lisboa, De Amorim Carvalho, Elaine Judite, Da Cruz Perez, Danyel Elias
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2022
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2022.01.391

This report describes a case of surgical ciliated cyst (SCC) in maxilla. A 25-year-old male patient was referred for diagnosis of a maxillary swelling with a duration of 6 months. During anamnesis, the patient reported having undergone orthognathic surgery 4 years ago. Imaging exams showed a unilocular radiolucent/hypodense lesion in the right maxilla associated with a rigid fixation plate. The main diagnostic hypothesis was radicular cyst. Therefore, excisional biopsy was performed under local anesthesia. Histopathologic examination revealed a cystic cavity lined mainly by ciliated pseudostratified columnar epithelium. Simple cuboidal epithelium was also observed. The fibrous connective tissue capsule was infiltrated by a moderate chronic inflammatory reaction. The histopathologic findings confirmed the diagnosis of SCC. No clinical or imaging signs of recurrence were observed after 4 years of treatment. SCC should be considered in the differential diagnosis of maxillary radiolucent images in patients who have previously undergone surgery.