# Rare Mandibular Surgical Ciliated Cysts: First Case Reported in a Brazilian

## TL;DR

A rare case of a mandibular surgical ciliated cyst is reported in a Brazilian patient after orthognathic surgery.

## Contribution

This is the first documented case of a mandibular surgical ciliated cyst in Brazil.

## Key findings

- A 43-year-old female presented with a surgical ciliated cyst 16 years after orthognathic surgery.
- Histopathological analysis confirmed the diagnosis of a mandibular surgical ciliated cyst.
- Diagnosis requires combining clinical, imaging, and histopathological data with surgical history.

## Abstract

This reported case represents the first well-documented mandibular surgical ciliated cyst, following orthognathic surgery consisting of a combination of Le Fort I bimaxillary and sagittal osteotomy concomitantly with genioplasty, reported in a Brazilian patient. A case of 43-year-old female presenting a mandibular surgical ciliated cyst after 16 years of an orthognathic surgery, consisting of a combination of Le Fort I osteotomy and genioplasty, is reported. The cystic lesion was enucleated, and the histopathological analysis showed a cystic cavity lined by pseudostratified columnar respiratory-type epithelium presenting ciliated and mucous cells supported by fibrous connective tissue without inflammation. The diagnosis established was a mandibular surgical cilited cyst. Then, for diagnosis of mandibular surgical ciliated cyst is essential the association of clinical/imagological and histopathological features with the patient' past history showing evidence of previous surgery in the mandible concomitant with the maxilla.