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手术后引起的纤毛囊肿是一种极少见的术后并发症,在正颌外科术后的相关报道更为罕见。本文报告1例患者在接受上颌骨Le Fort I型截骨与颏成形手术后2年,出现下颌颏部膨隆,影像学检查显示为颏部囊性占位,手术刮除病灶并取出钛板,病理学检查显示囊壁为假复层纤毛柱状上皮衬里,诊断为外科纤毛囊肿。回顾文献表明,正颌术后继发颌骨囊肿极为少见,其原因可能为术中上颌黏膜易位所致。
Postoperative ciliary cysts caused by a rare postoperative complications, the relevant reports in the orthognathic surgery is even more rare. This report reports a patient who underwent 2 years of Le Fort I osteotomy and genioplasty in the maxillary bone. One chin had bulging chin in his chin, and a cystic examination of the chin was shown on the imaging examination. Scraping the lesion and removing the titanium plate, Pathological examination revealed pseudostratified ciliated columnar epithelium lining, diagnosis of surgical ciliated cysts. Review of the literature shows that the maxillary mandibular secondary cyst is extremely rare, the reason may be due to intraoperative maxillary mucosal translocation.