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Related Experiment Videos

Lympho-epithelial cysts: a maxillofacial surgeon's perspective

A G Smyth1, R P Ward-Booth

  • 1West Midlands Regional Plastic and Jaw Surgery Unit, Wordsley Hospital, Stourbridge.

The British Journal of Oral & Maxillofacial Surgery
|April 1, 1993
PubMed
Summary

Infected lympho-epithelial cysts often present in the head and neck, complicating diagnosis and treatment. Oral examination is crucial for managing these cysts and preventing recurrence.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Head and Neck Surgery
  • Pathology

Background:

  • Cervical swellings are frequently referred to Oral and Maxillofacial Surgeons.
  • Lympho-epithelial cysts are a common diagnosis for these swellings.
  • A higher incidence of infection is noted in lympho-epithelial cysts presenting to Oral and Maxillofacial Surgery compared to other specialties.

Observation:

  • This study reviewed 5 recent cases of infected lympho-epithelial cysts requiring surgical excision.
  • All 5 presented with infection, and 4 had concurrent ipsilateral dento-alveolar infections.
  • One case presented as a rapidly developing cervical swelling in a neonate.

Findings:

  • Infected lympho-epithelial cysts are a significant clinical challenge in Oral and Maxillofacial Surgery.

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  • Concurrent dento-alveolar infections are common in patients with infected lympho-epithelial cysts.
  • The lymphoid tissue integral to these cysts may predispose them to infection.

    • Implications:

    • Management of infected lympho-epithelial cysts necessitates thorough oral cavity examination for infection sources.
    • Radiographic assessment of the oral cavity is recommended for identifying potential foci of infection.
    • Pre-operative oral examination and treatment of chronic infections can benefit all patients undergoing surgery for lympho-epithelial cysts, infected or not.