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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
CASE REPORT Table of Contents   
Year : 2009  |  Volume : 13  |  Issue : 1  |  Page : 30-34
Respiratory implantation cyst of the mandible following orthognathic surgery


Central Coast Pathology, San Luis Obispo, California 93401, USA

Correspondence Address:
Bruce D Ragsdale
3701 S. Higuera St. #200, San Luis Obispo, CA 93401
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-029X.48754

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A cyst following implantation of respiratory epithelium during surgical procedures has been documented only rarely. A variety of names have been attached to this lesion: respiratory mucocele, respiratory implantation cyst, surgical ciliated cyst, and surgical (implantation) cyst. In seven prior case reports, the interval between the initiating surgical procedure and diagnostic biopsy of the resultant well-circumscribed radiolucency and histopathological demonstration of distinctive pseudostratified ciliated columnar epithelial lining has varied from 4 to 40 years. In the case reported here, chin augmentation used "residual maxillary bone" as the donor tissue and likely transplanted sinonasal mucosa into the mandible during orthognathic surgery, resulting in a painful anterior mandibular cyst lined by respiratory epithelium that was ablated 16 years later.


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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
Online since 15th Aug, 2007