Post-surgical ciliated cyst

Aim: The aim of this study is to report two cases of postsurgical ciliated cysts (PSCC) in patients from Brazil with a history of trauma in the maxillary zygomatic suture region and traumatic tooth extraction. Additionally, we conducted a literature review of PSCC. Methods: We reported two clinical cases of edentulous patients diagnosed with PSCC, including information on patients medical and surgical history. Furthermore, we performed a literature review, identifying previous cases of PSCC and compiling relevant information. Results: In Case 1, the patient, a 64-year-old female, was edentulous and asymptomatic. The approach involved obtaining a panoramic radiograph, performing an incisional biopsy, followed by enucleation and curettage of the lesion. The patient is currently under follow-up, with no evidence of recurrence. In Case 2, the patient, a 61-year-old male, was also edentulous and had no painful symptoms. Imaging tests were ordered, and he subsequently underwent an excisional biopsy. Unfortunately, the follow-up was lost. According to the literature review, patient ages ranged from 17 to 76 years, with males comprising 52% and females 48% of the cases. Pain, swelling, and tenderness are common symptoms in the affected area. Le Fort I osteotomy was frequently associated with PSCC cases. Enucleation or curettage emerged as the predominant treatment approach for PSCC, demonstrating favorable outcomes with rare recurrences. Conclusion: Considering the diagnosis of PSCC is crucial in patients with a history of prior maxillary surgeries. Additionally, a comprehensive patient history is imperative for the assessment of maxillary cystic lesions.