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Cystic change in alveolar bone graft
A Kichenaradjou1, V R Beale, P E Haers
1South Thames Cleft Unit, Guys and St. Thomas's Hospital, London, UK. akichen@doctors.net.uk <akichen@doctors.net.uk>
International Journal of Oral and Maxillofacial Surgery
|March 23, 2010
Summary
A rare cyst developed in a teenage girl's cleft lip and palate bone graft site. This respiratory-lined cyst likely originated from the original cleft nasal lining.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Craniofacial Anomalies
Background:
- Cleft lip and alveolus repair often involves secondary bone grafting.
- Graft sites can be susceptible to various complications.
- Understanding long-term sequelae is crucial for patient management.
Observation:
- A 15-year-old female presented with a cystic lesion.
- The lesion was located within a prior unilateral cleft lip and alveolus bone graft site.
- The cyst was identified 5 years post-secondary bone grafting.
Findings:
- The cyst exhibited a respiratory epithelial lining.
- This histological feature suggests a developmental origin.
- The lining is hypothesized to be a remnant of the primary cleft's nasal mucosa.
Implications:
- This finding highlights a potential, albeit uncommon, complication of secondary bone grafting in cleft repair.
- It underscores the importance of considering developmental remnants in post-surgical cystic formations.
- Further research may elucidate the exact mechanism and incidence of such occurrences.
