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Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Surgical Ciliated Cysts in Orthognathic Surgery.

José Castro Soares1, Natalia Casañas Villalba2, Jacinto Fernández Sanromán2

  • 1Department of Maxillofacial Surgery, Centro Hospitalar Universitário de São João, Porto, Portugal.

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|August 18, 2020
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Summary

Surgical ciliated cysts (SCC) are rare, slow-growing lesions that can occur after sinus surgery. Long-term follow-up is crucial for detecting recurrences, as seen in two new cases following LeFort I osteotomy.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Pathology
  • Otolaryngology

Background:

  • Surgical ciliated cysts (SCC) are rare entities typically associated with maxillary sinus surgery.
  • These lesions can manifest months to years after procedures like orthognathic surgery, bone grafting, or trauma.

Purpose of the Study:

  • To report two new cases of SCC following LeFort I osteotomy for dentofacial deformity.
  • To review recent literature on SCC follow-up duration and recurrence rates.

Main Methods:

  • Case report of two patients with SCC after LeFort I osteotomy.
  • Systematic literature review of PubMed-indexed articles from the past 5 years concerning SCC.

Main Results:

  • One patient presented with bilateral SCC and experienced a rare late recurrence after 5 years.
  • Literature review identified 17 cases: 9 associated with orthognathic surgery, 4 with Caldwell-Luc procedures, 2 with sinus lifts, and 2 with trauma.
  • Mean follow-up in reviewed cases was 8.6 months, with no reported relapses.

Conclusions:

  • SCC, even after removal, can recur years later.
  • Long-term patient follow-up is essential for the timely diagnosis and management of recurrent surgical ciliated cysts.