scholarly journals Surgical Ciliated Cyst of the Maxilla: A Case-Series of Three Cases

2021 ◽  
pp. 1-3
Author(s):  
Andrew Jenzer ◽  
Macarius Abdelsayed ◽  
Jeffrey James ◽  
Kyle B Frazier ◽  
Brian Sellers ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Orthognathic Surgery ◽  
Case Series ◽  
Schneiderian Membrane ◽  
Western Countries ◽  
Iatrogenic Lesion ◽  
Ciliated Cyst

The surgical ciliated cyst is an iatrogenic lesion occurring after surgeries in which the Schneiderian membrane has been exposed, such as in orthognathic surgery or maxillary sinus procedures. This lesion has been infrequently documented in western countries. In this case series, we present three cases of surgical ciliated cysts of the maxilla.

scholarly journals Report of a case of surgical ciliated cyst in the left maxillary sinus

2017 ◽  
Vol 3 (10) ◽  
Keyword(s):  
Maxillary Sinus ◽  
Male Patient ◽  
Cystic Lesion ◽  
Incisional Biopsy ◽  
Western Countries ◽  
Delayed Complication ◽  
Left Maxillary Sinus ◽  
Ciliated Cyst

Surgical ciliated cyst happens as a delayed complication in the maxillary sinus, and is more frequent in Asia in comparison with Western countries. We report a case of surgical ciliated cyst in maxillary sinus in a male patient after 30 years of surgery for sinusitis treatment. The patient had swelling and pain in the region, and his radiographic views showed a cystic lesion. Incisional biopsy was performed and surgical ciliated cyst was reported as diagnosis. Then, Enucleation with curettage was performed for him as treatment.

The effectiveness of L-PRF in the treatment of Schneiderian membrane large perforations: long-term follow-up of a case series

2020 ◽  
Author(s):  
Carolina Mendonça de Almeida Malzoni ◽  
Lelis Gustavo Nicoli ◽  
Gustavo da Col dos Santos Pinto ◽  
Claudio Marcantonio ◽  
Suzana Cristina Pigossi ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Surgical Complication ◽  
Case Series ◽  
Primary Stability ◽  
Collagen Membrane ◽  
Schneiderian Membrane ◽  
Platelet Rich Fibrin ◽  
Long Term Follow Up ◽  
Sinus Floor Augmentation

The perforation of the Schneiderian membrane (SM) is a common surgical complication during the sinus floor augmentation procedure (SFA). Different approaches have been proposed to close completely the SM perforation and to avoid graft contamination or migration and postoperative sinus infection. In this context, the leukocyte and platelet-rich fibrin (L-PRF) membranes have been proposed to SM perforation treatment due to its natural adhesive property and resistance. Thus, these case series aim to evaluate the effectiveness of platelet rich fibrin (L-PRF) in the treatment of SM large perforations during SFA. A total of 9 SM perforation was treated in this case series. The L-PRF membranes were interposed on the perforated SM until the rupture could not be visualized. The maxillary sinus cavities were filled with deproteinized bovine mineral bone (Bio-oss®, Geistlich, Switzerland) and a collagen membrane was positioned to cover the lateral access window. After 8 months, 13 implants were placed achieving satisfactory primary stability. The osseointegration of all implants and absence of infection signs/mucus in the maxillary sinus were observed in cone beam computed tomography or panoramic radiography qualitative analysis after 3-5 years of follow-up. It can be concluded that the use of L-PRF can be considered a viable alternative for the repair of large SM perforations.

scholarly journals Cisto maxilar pós-operatório: relato de caso

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Mateus Diego Pavelski ◽  
Maicon Douglas Pavelski ◽  
Natasha Magro Ernica ◽  
Ricardo Augusto Conci ◽  
Eleonor Álvaro Garbin Junior ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Orthognathic Surgery ◽  
Rio De Janeiro ◽  
Late Complication ◽  
Sinus Surgery ◽  
Le Fort ◽  
Maxillary Cyst ◽  
Le Fort I ◽  
Ciliated Cyst

Introdução: ­­Cisto cirúrgico ciliado ou cisto maxilar pós-operatório é uma lesão que ocorre próximo ao ápice dos dentes, porém é originária do epitélio do seio maxilar. É definido como um sequestro da membrana do seio que fica aprisionado e se prolifera, gerando uma cavidade cística verdadeira. Tem aspecto radiográfico semelhante ao cisto radicular, sendo unilocular de centro radiolúcido e bordas radiopacas bem delimitadas. O tratamento é a remoção do epitélio, sendo recomendada a enucleação cirúrgica do cisto. Raramente é relatado recorrências da lesão. Objetivo: relatar um caso clínico e a conduta adotada para resolução do caso de cisto maxilar pós-operatório. Relato de Caso: A paciente de gênero feminino, 59 anos, leucoderma, edentada total, procurou a clínica de odontologia da Universidade Estadual do Oeste do Paraná para confecção de novas próteses totais superiores e inferiores. No exame radiográfico panorâmico, constatou-se uma lesão unilocular em maxila direita. Clinicamente não apresentava nenhuma alteração e nenhuma sintomatologia. Foi realizada a punção da lesão, sob anestesia local, que revelou conteúdo seroso. Em seguida, a lesão foi enucleada. Não houve comunicação com o seio maxilar. A paciente permaneceu em acompanhamento clínico e radiográfico por 3 anos apresentando reparação total da loja sem sinais de recidiva. Conclusão: O acompanhamento à longo prazo é essencial em casos de lesões intraósseas. Mesmo pacientes edêntulos necessitam de exames de imagens para avaliação inicial, descartando alterações intraósseas.Descritores: Cirurgia Bucal; Cistos Ósseos; Seio Maxilar.ReferênciasLi CC, Feinerman DM, MacCarthy KD, Woo SB. Rare mandibular surgical ciliated cysts: report of two new cases. J Oral Maxillofac Surg. 2014;72(9):1736-43.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 3. ed. Rio de Janeiro: Elsevier; 2009.Shafer WG, Hine MK, Levy BM, Tomich CE. Tratado de Patologia Bucal. 4. ed. Rio de Janeiro: Interamericana; 1985.Yoshikawa Y, Nakajima T, Kaneshiro S, Sakaguchi M. Effective treatment of the postoperative maxillary cyst by marsupialization. J Oral Maxillofac Surg. 1982;40(8):487-91.Thio D, De S, Phelps PD, Bath AP. Maxillary sinus mucocele presenting as a late complication of a maxillary advancement procedure. J Laryngol Otol. 2003;117(5):402-3.Leung YY, Wong WY, Cheung LK. Surgical ciliated cysts may mimic radicular cysts or residual cysts of maxilla: report of 3 cases. J Oral Maxillofac Surg. 2012;70(4):e264-69.Kim J, Nam IC, Yun SH, Cho JH. A huge midline premaxillary cyst as a late complication of maxillary surgery. J Craniofac Surg. 2011;22(5):1903-5.Fernandes KS, Gallottini MHC, Felix VB, Santos PSS, Nunes FD. Surgical ciliated cyst of the maxilla after maxillary sinus surgery: a case report. Oral Sur. 2013;6(4):229-33.Kaneshiro S, Nakajima T, Yoshikawa Y, Iwasaki H, Tokiwa N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg. 1981;39(3):191-98.Cano J, Campo J, Alobera MA, Baca R. Surgical ciliated cyst of the maxilla. Clinical case. Med Oral Patol Oral Cir Bucal. 2009;14(7):e361-64.Moe JS, Magliocca KR, Steed MB. Early maxillary surgical ciliated cyst after Le Fort I untreated for 20 years. Oral Surg. 2013;6(4):224-28.Basu MK, Rout PGJ, Rippin JW, Smith AJ. The post-operative maxillary cyst: Experience with 23 cases. Int J Oral Maxillofac Surg. 1988; 17(5):282-84.Yamamoto H, Takagi M. Clinicopathologic study of the postoperative maxillary cyst. Oral Surg Oral Med Oral Pathol. 1986;62(5):544-48.Heo MS, Song MY, Lee SS, Choi SC, Park TW. A comparative study of the radiological diagnosis of postoperative maxillary cyst. Dentomaxillofacial Radiol. 2000;29(6):347-51.Marano R, Santos SE, Sawazaki R, de Moraes M. Um raro caso de cisto cirúrgico ciliado após 5 anos de extração dentária. Rev Port Estomatol Med Dent Cir Maxilofac. 2012;53:246-51.Amin M, Witherow H, Lee R, Blenkinsopp P. Surgical ciliated cyst after maxillary orthognathic surgery: report of a case. J Oral Maxillofac Surg. 2003;61(1):138-41.Shik CK. The post-operative maxillary cyst: report of 14 cases. Taehan Chikkwa Uisa Hyophoe Chi. 1989;27(11):1049-57.Sugar AW, Walker DM, Bounds GA. Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies. Br J Oral Maxillofac Surg. 1990;28(4):264-67.Hayhurst DL, Moenning JE, Summerlin DJ, Bussard DA. Surgical ciliated cyst: a delayed complication in a case of maxillary orthognathic surgery. J Oral Maxillofac Surg. 1993;51(6):705-8.Lockhart R, Ceccaldi J, Bertrand JC. Postoperative maxillary cyst following sinus bone graft: report of a case. Int J Oral Maxillofac Implants. 2000;15(4):583-86.Shakib K, McCarthy E, Walker DM, Newman L. Post operative maxillary cyst: report of an unusual presentation. Br J Oral Maxillofac Surg. 2009;47(5):419-21.Bourgeois SL Jr, Nelson BL. Surgical ciliated cyst of the mandible secondary to simultaneous Le Fort I osteotomy and genioplasty: report of case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(1):36-9.An J, Zhang Y. Surgical ciliated cyst of the medial canthal region after the management of a midfacial fracture: a case report. J Craniofac Surg. 2014;25(2):701-2.Samuels HS. Marsupialization: Effective management of large maxillary cysts: report of a case. Oral Surg Oral Med Oral Pathol. 1965;20(5):676-83.Pe MB, Sano K, Kitamura A, Inokuchi T. Computed tomography in the evaluation of postoperative maxillary cysts. J Oral Maxillofac Surg. 1990;48(7):679-84.Lee KC, Lee NH. Comparison of clinical characteristics between primary and secondary paranasal mucoceles. Yonsei Med J. 2010;51(5):735-39.

Perfil microbiológico en los pacientes con diagnóstico de sinusitis nosocomial hospitalizados en la Unidad de Cuidados Intensivos del Hospital de San José durante el período de Febrero de 2013 a Marzo de 2015. Microbiological profile in patients diagnosed with nosocomial sinusitis hospitalized in the Intensive Care Unit of the Hospital of San Jose during the period February 2013 to March 2015.

2018 ◽  
Vol 45 (4) ◽  
pp. 261-266
Author(s):  
Jorge Luis Alfredo Herrera Ariza ◽  
Mario Alejandro Villabón ◽  
Ángela Carolina Rojas Ruiz ◽  
Iván Fernando Moncada
Keyword(s):  
Disease Control ◽  
Maxillary Sinus ◽  
Case Series ◽  
San Jose ◽  
Study Materials ◽  
Case Series Study ◽  
Nosocomial Sinusitis ◽  
Centers For Disease Control ◽  
Microbial Agents ◽  
Series Study

Objetivo: Determinar los agentes microbianos más frecuentes en pacientes de UCI con diagnóstico de sinusitis nosocomial en el Hospital de San José, período de dos años. Diseño: Estudio observacional tipo serie de casos. Materiales y métodos: Se incluyeron pacientes mayores de 18 años con una estancia hospitalaria mayor a 48 horas, que desarrollaron sinusitis nosocomial de acuerdo a los criterios de los Centers for Disease Control (CDC). Uso de dos técnicas: punción y lavado de seno maxilar. Resultados: 19 pacientes que cumplen los criterios de sinusitis nosocomial. Edad promedio 55 años, predominio sexo masculino. El 94.7% tuvo sonda orogástrica, 89.5% intubación orotraqueal y 89.5% ventilación mecánica. Hubo aislamiento polimicrobiano de gram positivos, gram negativos, anaerobios y hongos. La mortalidad en UCI fue 32%. Conclusiones: Se presenta una adecuada sensibilidad al tratamiento con vancomicina y piperacilina tazobactam en esta patología. El rendimiento diagnóstico es igual al realizar lavado y punción del seno maxilar.Objetive: To determine the microbial agents on UCI patients who have beendiagnosed with nosocomial sinusitis at the San Jose Hospital, (Bogota, Colombia) in a two-year period. Design: Case series study. Materials and methods: Patients who were older than 18-year olds, with a hospitalization longer than 48 hours who developed nosocomial sinusitis, according to the criteria established by the Centers for Disease Control (CDC) were included. Two techniques were employed for data collection: puncture and maxillary sinus wash. Results: 19 patients fulfill the criteria requirements for nosocomial sinusitis. Average age was 55 years old. Population mostly was composed by male individuals. 94.7% had a gastric tube intervention; 89.5% had tracheal intubation 89.5% mechanical ventilation. Polymicrobial isolation with gram positive, gram negative, anaerobic and fungi were identified. Mortality in critical care unites was 32%. Conclusions: An adequate sensitivity to treatment with vancomycin and piperacillin tazobactam was evidenced in this pathology.To perform a washing or maxillary sinus puncture had the same efficiency fordiagnosing this disease.

Malocclusion Management Following Mandibular Reconstruction With Free Fibula Flaps

2020 ◽  
pp. 194338752098024
Author(s):  
Jorge Ernesto Cantini Ardila ◽  
Carlos Eduardo Torres Fuentes ◽  
Giovanni Montealegre Gomez ◽  
Susana Correa ◽  
Erika Paola Gutierrez ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Case Series ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Occlusal Splints ◽  
Fibula Flap ◽  
Case Series Study ◽  
Free Fibula ◽  
Cutting Guides ◽  
Series Study

Study Design: Free fibula flaps are nowadays the gold standard for the surgical reconstruction on large mandibular defects. Malocclusion is an important complication of this type of reconstruction and many of these patients end up requiring subsequent orthognathic corrective surgery. This is a descriptive retrospective case series study. Objective: To describe the demographic data, operative techniques, corrective methods and postoperative results in the management of malocclusion following mandibular reconstruction with free fibula flap. Methods: This case series study included patients who underwent free fibula flap mandibular reconstructions and who that subsequently developed malocclusion requiring orthognathic corrective surgery, from June 2010 to December 2019. Panoramic X-rays, cephalometries and/or 3-D facial reconstruction CT scans were used for surgical planning to create surgical cutting guides, templates and occlusal splints in all the patients that underwent corrective orthognathic surgery. Results: There were 46 patients who underwent a free fibula flap mandibular and maxillary reconstruction at San Jose Hospital between June 2010 and December 2019 of these, 5 patients (10.9%) developed postoperative malocclusion. One case from another institution was added to this study for a total of 6 patients with malocclusion following mandibular reconstruction surgery with a fibula free flap. During the orthognathic surgery, vertical osteotomies were performed in 3 patients and bilateral sagittal split osteotomies were necessary in 2 patients and L-shape in 1 patient. Osteogenic distraction was performed in 3 patients as part of their orthognathic treatment. The fixation methods were based in miniplates for 3 of the patients and lag screws for the remaining 3 patients. With this approach, all patients had an adequate occlusion correction with a 100% consolidation at their 6-month follow up. Conclusion: Malocclusion is a significant complication following mandibular reconstruction surgery that must be identified and managed. In severe cases, it requires corrective orthognathic surgery in severe cases. We have developed a protocol to avoid pitfalls during the primary reconstruction and in case an orthognathic surgery is required for malocclusion correction, preoperative planning with cutting guides and occlusal splints should be assessed, to guarantee favorable results through a reproducible technique.

scholarly journals Floating septum technique: easy and safe method maxillary sinus septa in sinus lifting procedure

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Junho Jung ◽  
Bo-Yeon Hwang ◽  
Byung-Soo Kim ◽  
Jung-Woo Lee
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Schneiderian Membrane ◽  
Safe Method ◽  
Membrane Perforation ◽  
Sinus Lifting ◽  
Maxillary Sinus Septa ◽  
Sinus Floor

Abstract Background The presence of septa increases the risk of Schneiderian membrane perforation during sinus lift procedure, and therefore, the chance of graft failure increases. We present a safe method of managing septa and, in particular, overcoming small and palatally located septa. Methods After the elevation of the flap and the creation of a small bony window positioned anterior to the septum, the Schneiderian membrane is lifted carefully. A thin and narrow osteotome is then placed at the indentation created at the base of the septum, and mobilization of the septum is achieved by gentle malleting. The membrane is again carefully lifted up behind the septum. Results There was one small membrane perforation case in all 16 cases, and none of these patients showed postoperative complications such as implant failure, infection, or maxillary sinusitis. Conclusions This technique is useful for overcoming the problem of maxillary sinus septa hindering the sinus floor elevation procedure, leading to fewer complications.

scholarly journals Influence of the Periapical Status of the Posterior Maxillary Teeth on the Width of the Schneiderian Membrane of the Maxillary Sinus Mucosa

2021 ◽  
Vol 11 (9) ◽  
pp. 3908
Author(s):  
Igor Tsesis ◽  
Eyal Rosen ◽  
Ilan Beitlitum ◽  
Einat Dicker-Levy ◽  
Shlomo Matalon
Keyword(s):  
Maxillary Sinus ◽  
Third Molar ◽  
Root Tips ◽  
Schneiderian Membrane ◽  
Second Molar ◽  
Periapical Lesions ◽  
Posterior Maxilla ◽  
Mucosal Thickness ◽  
Tooth Type ◽  
Mucosal Thickening

Background: Various parameters are known to affect the amount and type of mucosal thickening. The aim of this retrospective study was to investigate these effects through a survey of cone-beam computed tomography (CBCT) images. CBCT scans of 150 patients, which included the area of the MS and maxillary teeth (canine, first premolar, second premolar, first molar, second molar, and third molar), were evaluated retrospectively for the presence of sinus mucosal thickening. The parameters evaluated as possible causes of mucosal thickening were age, sex, tooth type, proximity to the maxillary sinus, endodontic treatment, and periapical lesion. Descriptive statistics and multiple logistic regression were used to analyze the data. A total of 28% of the teeth presented with mucosal thickening, which was associated with periapical lesions in 57.1% of 77 cases. The size of the lesion was the only parameter that was found to be significantly connected to the presence of mucosal thickness. More than 50% of teeth with periapical lesions in the posterior maxilla exhibited mucosal thickening. Other parameters such as age, sex, and the position of the root tips in relation to the MS floor did not influence the probability of developing mucosal thickening.

Surgical Ciliated Cyst Following Maxillary Sinus Floor Augmentation: A Case Report

2017 ◽  
Vol 43 (5) ◽  
pp. 360-364 ◽  
Author(s):  
Shinsuke Yamamoto ◽  
Keigo Maeda ◽  
Izumi Kouchi ◽  
Yuzo Hirai ◽  
Naoki Taniike ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Alveolar Bone ◽  
Maxillary Sinusitis ◽  
Critical Role ◽  
Japanese Woman ◽  
Sinus Floor Augmentation ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Maxillary Sinus Floor Augmentation ◽  
Ciliated Cyst

Maxillary sinus floor augmentation is considered to play a critical role in dental implant treatment. Although many complications, such as maxillary sinusitis and infection, are well known, few reports are available on the risk of surgical ciliated cyst following the procedure. Here, we report a case of surgical ciliated cyst following maxillary sinus floor augmentation. A 55-year-old Japanese woman was referred to our hospital because of alveolar bone atrophy in the bilateral maxilla. We performed bilateral maxillary sinus floor augmentation by the lateral window technique without covering the window. The Schneiderian membrane did not perforate during the operation. She returned to our hospital after 9 years due to swelling of the left buccal region. Computerized tomography revealed a well-defined radiolucent area with radiodense border intraosseously localized in the left maxilla. We performed enucleation of the cyst with the patient under general anesthesia. Histological examination of the specimen showed a surgical ciliated cyst. In conclusion, the course of this patient has 2 important implications. First, the sinus membrane entrapped in the grafted bone without visible perforation and or tearing can develop into a surgical ciliated cyst. Second, there is a possibility that covering the lateral window tightly might prevent the development of a surgical ciliated cyst.

scholarly journals Revision of 116 orthognathic surgery patients operated on with the high-oblique sagittal osteotomy (HOSO): a retrospective case series (PROCESS-compliant article)

2020 ◽  
Author(s):  
C. Herrera-Vizcaino ◽  
L. Seifert ◽  
M. Berdan ◽  
S. Ghanaati ◽  
M. Klos ◽  
...  
Keyword(s):  
Complication Rate ◽  
Orthognathic Surgery ◽  
Mouth Opening ◽  
Case Series ◽  
Operation Time ◽  
University Hospital ◽  
Material Failure ◽  
Retrospective Case ◽  
Non Union ◽  
Facial Plastic

Abstract Background The high-oblique sagittal osteotomy (HOSO) is an alternative to a bilateral sagittal split osteotomy (BSSO). Due to its novelty, there are no long-term studies which have focused on describing the incidence and type of complications encountered in the post-operative follow-up. The aim of this retrospective study is to analyze patients operated on with this surgical technique and the post-operative complications encountered. Patient and methods The electronic medical records of all patients treated with orthognathic surgery at the Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital Frankfurt, Goethe University, Frankfurt, Germany, between the years 2009 and 2016 were retrospectively reviewed. Results A total of 116 patients fulfilled the inclusion criteria. The cases operated on with the standard osteosynthesis (X, Y, and straight) showed a complication rate of 36.37% (n = 4/11). The cases operated on with the HOSO-dedicated plates (HOSO-DP) showed, in total, a complication rate of 6.67% (n = 7/105). The most common post-operative complication resulting from both fixation methods was a reduction in mouth opening and TMJ pain for 4.3%. During the first years of performing the surgery (2009–211), a variety of standard plates had material failure causing non-union or pseudarthrosis. No cases of material failure were observed in the cases operated on with the HOSO-DP. The statistical results showed a highly significant dependence of a reduction in OP-time over the years, when the HOSO was performed without additional procedures (R2 > 0.83, P < 0.0015). Conclusion The rate of complications in the HOSO were shown to be comparable to the rate of complications from the BSSO reported in the literature. Moreover, the use of the ramus dedicated plate appears to provide enough stability to the bone segments, making the surgery safer. Clinical relevance The HOSO needs to be considered by surgeons as an alternative to BSSO. Once the use of the HOSO-DP was established, the rate of complications and the operation time reduced considerably.

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