1
|
Ishida K, Sakamoto Y, Kosugi K, Miwa T, Toda M. The Long-Term Natural History of Fibrous Dysplasia. J Craniofac Surg 2024:00001665-990000000-01506. [PMID: 38709064 DOI: 10.1097/scs.0000000000010245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 03/22/2024] [Indexed: 05/07/2024] Open
Abstract
Fibrous dysplasia (FD), a developmental, nonfamilial, benign anomaly of bone development, is characterized by the replacement of normal bone by proliferating fibro-osseous tissue. Marked craniofacial deformities, functional disturbances, and emotional stress are major indications for treatment, and various surgical procedures have been performed; however, excision and regrowth issues have also been reported. While several treatment options are available, no studies have reported the natural history of untreated FD. Here, we report 2 patients, aged 73 and 50 years, respectively, who had not received treatment. Both patients presented to the hospital complaining of noise when moving their heads. Computed tomography scans showed niveau with honeycomb cavities in both patients, indicating abscess formation, and resection was performed. Relatively large cranial FD leads to the development of central necrosis over time. In such cases, surgical intervention should be performed at an early disease stage.
Collapse
Affiliation(s)
- Kaori Ishida
- Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Yoshiaki Sakamoto
- Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Kenzo Kosugi
- Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan
| | - Tomoru Miwa
- Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan
| | - Masahiro Toda
- Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan
| |
Collapse
|
2
|
Sonone A, Hande A, Gawande MN, Patil SK, Pakhale A. Aneurysmal Bone Cyst Plus Lesions: A Case Report and a Literature Review. Cureus 2022; 14:e27912. [PMID: 36120211 PMCID: PMC9467493 DOI: 10.7759/cureus.27912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 08/11/2022] [Indexed: 11/05/2022] Open
|
3
|
Liu Y, Zhou J, Shi J. Clinicopathology and Recurrence Analysis of 44 Jaw Aneurysmal Bone Cyst Cases: A Literature Review. Front Surg 2021; 8:678696. [PMID: 34250007 PMCID: PMC8260671 DOI: 10.3389/fsurg.2021.678696] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 05/19/2021] [Indexed: 11/13/2022] Open
Abstract
In the past half-century, considerable attention has been paid to oral and maxillofacial skeletal cyst, however, aneurysmal bone cyst (ABC), unlike other common bone diseases, still contours numerous unanswered questions in terms of classification, etiology and pathological mechanism. The purpose of this article was to evaluate the proportion of primary ABC and secondary ABC, and to assess the recurrence of ABC and related factors. A methodical search of Embase, MEDLINE, Cochrane Library, Web of Science was conducted for well-documented jaw aneurysmal bone cyst (JABC) cases. One hundred thirty-one articles were identified after database searching and 31 of them were included in our study for further research with 44 JABC cases. All the articles were analyzed by two separate authors. About 25% of the reported jaw aneurysmal bone cyst was secondary. Both the pathological classification and surgical treatment had a significant influence on recurrence rate (P = 0.0082, P = 0.0022), while patients' age or radiographic features rarely affected prognosis. Jaw aneurysmal bone cysts can present variable clinical and histological presentations. Recurrence may be attributed to omittance of underlying potential blood supply or conservative surgical protocol.
Collapse
Affiliation(s)
- Yu Liu
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, School of Stomatology, The Affiliated Hospital of Stomatology, Zhejiang University School of Medicine, Hangzhou, China
| | - Jinhan Zhou
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, School of Stomatology, The Affiliated Hospital of Stomatology, Zhejiang University School of Medicine, Hangzhou, China
| | - Jue Shi
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, School of Stomatology, The Affiliated Hospital of Stomatology, Zhejiang University School of Medicine, Hangzhou, China
| |
Collapse
|
4
|
Rau LH, Reinheimer A, Meurer MI, Marodin AL, Espezim CS, Klüppel LE, Dos Santos Vaz Fernandes PC, Rivero ERC. Fibrous dysplasia with secondary aneurysmal bone cyst-a rare case report and literature review. Oral Maxillofac Surg 2019; 23:101-107. [PMID: 30758737 DOI: 10.1007/s10006-019-00741-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 01/25/2019] [Indexed: 12/13/2022]
Abstract
INTRODUCTION Fibrous dysplasia (FD) and aneurysmal bone cyst (ABC) are uncommon non-neoplastic intraosseous lesions, and the occurrence of concomitant FD and ABC is extremely rare. CASE REPORT An 11-year-old boy presented with gradual progressive enlargement of his right zygomatic bone over 4 years prior to presentation. Computed tomography revealed a lesion with a central bony area showing a ground-glass appearance surrounded by a well-defined expansile lesion with internal septations. An incisional biopsy was performed and suggested a fibro-osseous lesion. Resection was performed, followed by immediate reconstruction using autogenous bone graft from the iliac crest. Histopathological examination revealed irregularly shaped trabeculae comprising immature woven bone in a fibroblastic cell-rich stroma. Blood-filled sinusoidal spaces lined by fibrous septa containing scattered multinucleated giant cells were observed peripherally. These findings were compatible with concomitant FD and ABC. The patient was disease-free at the time of his 10-month follow-up. CONCLUSIONS Based on our literature search, this report is the first to describe concomitant monostotic FD and ABC in the zygomatic bone. Accurate diagnosis requires careful investigation and examination of clinical, radiographical, and histopathological features. The treatment of choice should provide an esthetic and functional improvement in the patient.
Collapse
Affiliation(s)
- Levy Hermes Rau
- Department of Maxillofacial Surgery, Joana de Gusmão Children's Hospital, Florianópolis, SC, Brazil.,Department of Implant Dentistry, Latin American Institute of Dental Research and Education, Curitiba, PR, Brazil.,Faculty of Dental Medicine, University of Porto, Porto, Portugal
| | - Angélica Reinheimer
- Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
| | - Maria Inês Meurer
- Department of Pathology, Federal University of Santa Catarina, University Campus, Trindade, Florianópolis, Santa Catarina, 88040-370, Brazil
| | - Aline Luiza Marodin
- Department of Maxillofacial Surgery, Joana de Gusmão Children's Hospital, Florianópolis, SC, Brazil
| | | | - Leandro Eduardo Klüppel
- Department of Implant Dentistry, Latin American Institute of Dental Research and Education, Curitiba, PR, Brazil
| | | | - Elena Riet Correa Rivero
- Department of Pathology, Center of Health Sciences, Federal University of Santa Catarina, University Campus, Trindade, Florianópolis, 88.040-370, Santa Catarina, Brazil
| |
Collapse
|
5
|
Flores IL, Hamilton ME, Zanchin-Baldissera E, Uchoa-Vasconcelos AC, Chaves-Tarquinio SB, Neutzling-Gomes AP. Simple and aneurysmal bone cyst: Aspects of jaw pseudocysts based on an experience of Brazilian pathology service during 53 years. Med Oral Patol Oral Cir Bucal 2017; 22:e64-e69. [PMID: 27918745 PMCID: PMC5217498 DOI: 10.4317/medoral.21551] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2016] [Accepted: 11/24/2016] [Indexed: 02/02/2023] Open
Abstract
Background Jaw pseudocysts are benign osseous lesions of unclear etiology. Among these, the simple bone
cyst (SBC) and aneurysmal bone cyst (ABC) are intriguing bone pathologies still rarely studied
together. This retrospective study aimed to present the long-term case series of patients with
jaw pseudocysts focusing on the clinical, radiographic, and transoperative aspects. Material and Methods A retrospective case series of patients with SBC and ABC was performed. Clinical,
radiographic, and transoperative aspects of both pseudocysts were reviewed from the
histopathological archives of 20,469 cases between 1959-2012. All descriptive data were
summarized. Results Of 354 (15.25%) bone pathologies, 54 cases of jaw pseudocysts were found, with 42 (11.86%)
SBC and 12 (3.39%) ABC cases. For both lesions, most of the sample were young Caucasian women
with an asymptomatic posterior mandible lesion with undetermined time of evolution and none
trauma history. A unique radiolucent scalloped lesion presenting an empty cavity were also
observed for both conditions. However, some atypical findings were found for SBC including:
the expansion of bone cortical, tooth resorption, displacement of the mandibular canal, and
recurrence. The absence of painful symptoms and the lack of classical blood-filled cavity were
observed in some cases of ABC. Conclusions The SBC and ABC are bone pathologies with few retrospective studies, no previous studies on
the two conditions, varied nomenclature, and atypical aspects in some cases. Therefore, the
knowledge of clinical, imaging, and transoperative features of such pseudocysts are clinically
valuable as diagnosis hypothesis of radiolucent lesions of the jaws. Key words:Simple bone cyst, aneurysmal bone cyst, pseudocysts, jaws.
Collapse
Affiliation(s)
- I-L Flores
- Rua Israel Pinheiro 2000, Bloco D9, Bairro Universitário, Departamento de Odontologia, UFJF/GV, Governador Valadares, MG, Brazil,
| | | | | | | | | | | |
Collapse
|
6
|
Al-Sharhan SS, Ashoor MM, Al-Nemer AM. Psammomatoid Ossifying Fibroma of the Ethmoid Sinus with Secondary Intracranial Aneurymal Bone Cyst: A Case Report and Literature Review. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES 2016; 4:125-128. [PMID: 30787712 PMCID: PMC6298325 DOI: 10.4103/1658-631x.178350] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Juvenile psammomatoid ossifying fibroma (JPOF) is a rare, slowly progressive tumor of the extragnathic craniofacial bones, with a tendency toward locally aggressive behavior and recurrence. The pathognomonic histopathologic feature is the presence of spherical ossicles, which are similar to psammoma bodies. Very few cases in association with secondary aneurysmal bone cyst (ABC) formation have been reported in literature. Treatment consists of complete surgical removal. However, incomplete excision has been associated with a high local recurrence rate. The prognosis is good because malignant change and metastasis have not been reported. The authors are reporting a case of JPOF of the ethmoid bones with secondary ABC in a 7-year-old female patient.
Collapse
Affiliation(s)
- Salma S Al-Sharhan
- Department of Otolaryngology and Head and Neck Surgery, King Fahd Hospital of University, University of Dammam, Al-Khobar, Saudi Arabia
| | - Mona M Ashoor
- Department of Otolaryngology and Head and Neck Surgery, King Fahd Hospital of University, University of Dammam, Al-Khobar, Saudi Arabia
| | - Areej M Al-Nemer
- Department of Histopathology, King Fahd Hospital of University, University of Dammam, Al-Khobar, Saudi Arabia
| |
Collapse
|
7
|
Assessment of 120 maxillofacial aneurysmal bone cysts: a nationwide quest to understand this enigma. J Oral Maxillofac Surg 2014; 72:1523-30. [PMID: 24931106 DOI: 10.1016/j.joms.2013.12.032] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Revised: 12/24/2013] [Accepted: 12/27/2013] [Indexed: 11/23/2022]
Abstract
PURPOSE Compared with other maxillofacial lesions, oral and maxillofacial (OM) aneurysmal bone cysts (ABCs) are rare, and most studies have been case reports. Because the features or radiographic findings of 1 case could not be representative of the whole, conclusions cannot be drawn and data analyses will not be feasible. Our aim was to assess and describe the clinical and histopathologic characteristics of a large sample of subjects with ABCs. To our knowledge, the present case series of OM ABCs is the largest ever reported. MATERIALS AND METHODS To address our research purpose, we designed and implemented a retrospective case series. A multicenter retrospective cohort study of patient charts dated from 1967 to 2013 (46 years) at 10 major universities in 8 cities was undertaken to assess OM ABCs nationwide. Subjects were included if they had documented chart data and definitive histopathologic slides confirming the diagnosis and treatment of ABC. They were excluded if their histopathologic slides did not confirm the diagnosis of an ABC. Data were collected, and special forms were completed. Variables such as age, gender, site (ie, maxilla, mandible, anterior, posterior), histologic type (ie, solid, mixed, vascular), signs, symptoms, radiographic features (ie, radiolucency, unicystic or multilocular), and outcomes (ie, treatment modal, recurrence, complications) of the lesion were evaluated and documented by OM surgeons and confirmed by OM pathologists for assurance. Data analyses were performed using Statistical Package for Social Sciences, version 20, software (SPSS, Chicago, IL) (P < .05). RESULTS We assessed the medical records and histopathologic slides of 120 patients diagnosed and treated for OM ABCs nationwide. Of these patients, 69 were male (57.5%) and 51 were female (42.5%), with no predilection found. The key findings were as follows. The mean age of occurrence was 20.7 ± 2.5 years (range 4 to 78), and occurrence was significantly greater in the first 2 decades of life (P < .001). The incidence was 2.6 cases/year. ABCs were significantly more common in the mandible (P < .05) and posterior areas (P < .05). The most common histopathologic type was the mixed type (P < .05). Firm swelling was the most common clinical presentation (P < .05); all cases were radiolucent and commonly unilateral (P < .05). Most were treated by excision and curettage. Recurrence was reported in 11 patients (9.2%) during the follow-up period (1 to 45 years). CONCLUSIONS The present retrospective cohort found ABCs with a variable presentation, disease course, and histopathologic type, with no gender predilection. ABCs were significantly more common in childhood and adolescence and in the mandible and posterior areas of the jaws. Of the cases reviewed, 90% were treated by excision and curettage. ABCs had a relatively low recurrence rate (<10%), precluding the need to perform aggressive surgery primarily.
Collapse
|
8
|
Benign fibro-osseous lesions of the jaws in children. A 12-year retrospective study. J Craniomaxillofac Surg 2013; 41:574-80. [DOI: 10.1016/j.jcms.2012.11.029] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2012] [Revised: 11/26/2012] [Accepted: 11/27/2012] [Indexed: 12/16/2022] Open
|
9
|
Manjila S, Zender CA, Weaver J, Rodgers M, Cohen AR. Aneurysmal bone cyst within fibrous dysplasia of the anterior skull base: continued intracranial extension after endoscopic resections requiring craniofacial approach with free tissue transfer reconstruction. Childs Nerv Syst 2013; 29:1183-92. [PMID: 23435492 DOI: 10.1007/s00381-013-2034-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2012] [Accepted: 01/14/2013] [Indexed: 12/18/2022]
Affiliation(s)
- Sunil Manjila
- Division of Pediatric Neurosurgery & Minimally Invasive Neurosurgical Laboratory, University Hospitals Case Medical Center, Cleveland, OH, USA
| | - Chad A Zender
- Division of Otolaryngology & Minimally Invasive Otolaryngological, Laboratory, University Hospitals Case Medical Center, Cleveland, OH, USA
| | - John Weaver
- Division of Pediatric Neurosurgery & Minimally Invasive Neurosurgical Laboratory, University Hospitals Case Medical Center, Cleveland, OH, USA
| | - Mark Rodgers
- Department of Pathology, University Hospitals Case Medical Center, Cleveland, OH, USA
| | - Alan R Cohen
- Department of Neurosurgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA.
| |
Collapse
|
10
|
Verma RK, Kumar R, Bal A, Panda NK. Aneurysmal bone cyst of maxilla with ectopic molar tooth - a case report. Otolaryngol Pol 2013; 67:302-7. [PMID: 24238115 DOI: 10.1016/j.otpol.2013.06.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Accepted: 06/13/2013] [Indexed: 10/26/2022]
Abstract
Aneurysmal cysts of bone are rare non-neoplastic, locally aggressive lesion of bone with propensity for rapid growth, affecting mainly the long bones and spine. It rarely occurs in the head and neck region and within the head and neck mandible (especially the molar areas) is common. Aneurysmal cyst of bone involving the maxilla in the first decade of life is even rarer. We report a case of giant aneurysmal bone cyst of maxilla in eight-year-old male with ectopic molar tooth within the cyst. Is endoscopic excision possible? Endoscopic excision of the cyst was done successfully and no recurrence was noted even after 1 year of follow up.
Collapse
Affiliation(s)
- Roshan Kumar Verma
- Department of Otolarngology and Head & Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | | | | | | |
Collapse
|
11
|
Abstract
Fibrous dysplasia can present clinically in varied forms which may appear as collision of different pathologic processes. We report a rare case of craniofacial fibrous dysplasia with coexisting epithelial lined cyst and superimposed osteomyelitis with sequestrum formation. Its clinical features and management with possible hypotheses are described along with the post operative course. Pertinent literature has been reviewed with emphasis on pathogenesis of this unique occurrence.
Collapse
Affiliation(s)
- Aakarsh Jhamb
- Department of Oral and Maxillofacial Surgery, Santosh Dental College and Hospital, New Delhi, India
| | | | | |
Collapse
|
12
|
Fibro-osseous disease: harmonizing terminology with biology. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:388-92. [DOI: 10.1016/j.oooo.2012.06.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2012] [Accepted: 06/01/2012] [Indexed: 11/22/2022]
|
13
|
Ossifying fibroma of the jaws: a clinical study of 14 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:193-9. [DOI: 10.1016/j.tripleo.2011.07.033] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2011] [Revised: 07/12/2011] [Accepted: 07/18/2011] [Indexed: 11/19/2022]
|
14
|
Triantafillidou K, Venetis G, Karakinaris G, Iordanidis F, Lazaridou M. Variable histopathological features of 6 cases of aneurysmal bone cysts developed in the jaws: review of the literature. J Craniomaxillofac Surg 2011; 40:e33-8. [PMID: 21454083 DOI: 10.1016/j.jcms.2011.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2010] [Revised: 01/23/2011] [Accepted: 03/01/2011] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the results of treatment of 6 patients with ABC who were treated in our clinic. MATERIAL AND METHODS A group of 6 patients with ABC were treated in the clinic of Oral and Maxillofacial Surgery of the "G. Papanikolaou" hospital in Thessaloniki. The age of the patients ranged from 7 to 35 years. Four patients were female and 2 patients were male. Three lesions located in the maxilla-maxillary sinus and 3 lesions in the mandible. All the patients were treated by surgery (excision via curettage or radical resection). The final histopathologic diagnosis for one lesion was "solid" type of ABC and for another one it was ABC in association with an ossifying fibroma. RESULTS The mean follow-up range was 2-17 years. All the patients were free of the disease without functional problems. CONCLUSIONS ABC is a rare bony lesion characterized by variable clinical and radiographic features. The incisional biopsy preoperatively is important for the diagnosis before the surgical treatment. The histopathological examination of the whole lesion is determinative for the existence of associated pathological lesions. Regular follow-up is important to detect any recurrence of the lesion.
Collapse
Affiliation(s)
- Katherine Triantafillidou
- Department of Oral and Maxillofacial Surgery, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Greece. ,
| | | | | | | | | |
Collapse
|
15
|
Choi BJ, Choi SC, Kwon YD, Drew SJ. Aneurysmal bone cyst causing a pathologic fracture of the mandibular condyle. J Oral Maxillofac Surg 2011; 69:2995-3000. [PMID: 21444139 DOI: 10.1016/j.joms.2010.10.058] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2010] [Revised: 07/16/2010] [Accepted: 10/01/2010] [Indexed: 10/18/2022]
Affiliation(s)
- Byung-Joon Choi
- Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
| | | | | | | |
Collapse
|
16
|
Sun ZJ, Zhao YF, Yang RL, Zwahlen RA. Aneurysmal bone cysts of the jaws: analysis of 17 cases. J Oral Maxillofac Surg 2010; 68:2122-8. [PMID: 20110147 DOI: 10.1016/j.joms.2009.07.111] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 04/21/2009] [Accepted: 07/25/2009] [Indexed: 10/19/2022]
Abstract
PURPOSE Aneurysmal bone cysts (ABCs) are benign osteolytic lesions that occur relatively rarely in the jaws. The aim of the present study was to investigate the clinical and radiographic characteristics, pathologic features, and treatment results of ABCs of the jaws (JABCs). MATERIALS AND METHODS A retrospective analysis of a 20-year database, including 17 cases of JABC, was performed. RESULTS A total of 17 patients, 9 males and 8 females, aged 7 to 47 years (mean 20.4, median 14), were included. Of the 17 lesions, 15 (88.2%) were located in the mandible and 2 (11.8%) in the maxilla. A painless (12 of 17, 70.6%) or painful (3 of 17, 17.6%) swelling was the most common clinical finding. The pathologic analyses revealed that 13 JABCs (76.5%) were secondary in nature, including 11 cases associated with ossifying fibroma. Radiologically, the lesions frequently presented as multilocular (58.8%), well-defined (70.6%) radiolucencies (82.4%). Two lesions (11.8%) recurred. CONCLUSIONS Our results suggest that most JABCs are secondary in nature and frequently associated with ossifying fibroma. The patients with JABCs presented with various clinical and radiographic features and therefore often posed a diagnostic dilemma. Resection is the preferred treatment of JABCs.
Collapse
Affiliation(s)
- Zhi-Jun Sun
- Key Laboratory for Oral Biomedical Engineering, Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
| | | | | | | |
Collapse
|
17
|
Abuzayed B, Dashti R, Turk O, Kaynar MY. Aneurysmal frontal bone cyst in a child with history of acute lymphoblastic leukemia: a case of rare location and history. J Pediatr Hematol Oncol 2010; 32:e1-3. [PMID: 19636268 DOI: 10.1097/mph.0b013e3181acd856] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Authors present an 11-year-old female admitted with a 3-month history of painless forehead mass. The mass was located in the left frontal area and was pronounced on inspection and palpation. Neurologic examination revealed no abnormalities. The patient was diagnosed for acute lymphoblastic leukemia 5 years ago and had been treated. The patient was under observation by the pediatric oncology clinic with remission state since 3 years. Brain computed tomography and magnetic resonance imaging revealed a cystic bone lesion in the right frontal bone. A preoperative diagnosis of myeloproliferative disorder was made and it was surgically resected and cranioplasty with porous polyethylene sheets (Medpor, Porex Surgical Inc, GA) was performed in the same stage. Pathologic examination revealed an aneurysmal bone cyst. The patient recovered with complete resolution of symptoms. Although rare lesions, aneurysmal bone cysts must be considered in the differential diagnosis of calvarial mass lesions.
Collapse
Affiliation(s)
- Bashar Abuzayed
- Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | | | | | | |
Collapse
|
18
|
Roychoudhury A, Rustagi A, Bhatt K, Bhutia O, Seith A. Aneurysmal bone cyst of the mandible: report of 3 cases. J Oral Maxillofac Surg 2009; 67:1996-2004. [PMID: 19686939 DOI: 10.1016/j.joms.2009.04.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2008] [Revised: 03/07/2009] [Accepted: 04/17/2009] [Indexed: 11/29/2022]
Affiliation(s)
- Ajoy Roychoudhury
- Department of Oral and Maxillofacial Surgery, CDER, All India Institute of Medical Sciences, Delhi, India.
| | | | | | | | | |
Collapse
|
19
|
Sun Z, Sun H, Yang R, Zwahlen R, Zhao Y. Review Article: Aneurysmal Bone Cysts of the Jaws. Int J Surg Pathol 2009; 17:311-22. [PMID: 19233862 DOI: 10.1177/1066896909332115] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aneurysmal bone cyst (ABC) is a osteolytic bone lesion that rarely involves the jaws. To date, a total of 92 cases of JABCs have been described in detail in English literature. They prevalently occur in the first 2 decades (72.8%) with slight female predilection. It affects the mandible more often (68.5%) with a predominant location in the mandibular ramus (31.3%) and its posterior regions (20.4%). A painless (54.7%) or painful (43.2%) bone swelling is the most frequent clinical sign. Radiologically 93.8% of the lesions present as a radiolucency; in 69.4% multilocular in appearance. 15.2% of JABCs were secondary in nature, including 8 cases associated with fibrous dysplasia. The recurrence rate (13.3%) did not differ significantly when comparing the surgical technique (curettage, 15.2%; resection, 11.8%). JABCs are known for their different clinical and radiographic features, therefore often posing a diagnostic dilemma. Some JABC's may be secondary in nature. Careful curettage is considered to be suitable as treatment for JABCs.
Collapse
Affiliation(s)
- Z.J. Sun
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China, , Key Laboratory for Oral Biomedical Engineering, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China
| | - H.L. Sun
- Key Laboratory for Oral Biomedical Engineering, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China
| | - R.L. Yang
- Key Laboratory for Oral Biomedical Engineering, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China
| | - R.A. Zwahlen
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong (SAR), China
| | - Y.F. Zhao
- Department of Oral and Maxillofacial Surgery School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China
| |
Collapse
|
20
|
Abstract
Aneurysmal bone cysts (ABCs) of the cranium in children are rare, with only 3 to 6% of cases occurring in this anatomical location. Consequently, not much is known about ABCs and the most effective modality of treatment. The authors present the cases of three patients with ABCs and discuss the origin, pathogenesis, clinical presentation, pathological features, and imaging characteristics of these lesions. Furthermore the authors review the literature to find out the current treatment options for these lesions.
Collapse
Affiliation(s)
- Yee-Chiung Gan
- Department of Pediatric Neurosurgery, Birmingham Children's Hospital, Birmingham, United Kingdom.
| | | |
Collapse
|
21
|
Suei Y, Taguchi A, Tanimoto K. A comparative study of simple bone cysts of the jaw and extracranial bones. Dentomaxillofac Radiol 2007; 36:125-9. [PMID: 17463095 DOI: 10.1259/dmfr/29967141] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To improve the interpretation of simple bone cyst (SBC) lesions of the jaw. METHODS A comparative study of SBC lesions of the jaw and extracranial bones was performed through a literature survey. RESULTS In extracranial SBC, the cavities were always filled with fluid, and a high recurrence rate was shown through extensive research. Aneurysmal bone cyst (ABC) was included in the differential diagnosis owing to some clinicopathologic similarities. Fluid, gas and blood were found in the cavity in jawbone SBC, and recurrence was believed to be rare. Differential diagnosis was rarely discussed in the literature. CONCLUSIONS Based on reports, the cavity did not normally contain gas because no air-fluid level was observed on panoramic radiographs and no density/intensity area indicating gas was seen on CT or MRI. A blood-filled cavity should be examined carefully, and the possibility of an ABC should be considered. The recurrence rate needs to be re-estimated because an extensive survey has not been performed to clarify the treatment outcomes of jawbone SBC.
Collapse
Affiliation(s)
- Y Suei
- Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan.
| | | | | |
Collapse
|
22
|
Fyrmpas G, Constantinidis J, Televantou D, Konstantinidis I, Daniilidis J. Primary aneurysmal bone cyst of the maxillary sinus in a child: case report and review of the literature. Eur Arch Otorhinolaryngol 2006; 263:695-8. [PMID: 16609883 DOI: 10.1007/s00405-006-0037-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2005] [Accepted: 12/01/2005] [Indexed: 01/30/2023]
Abstract
Our case report describes a primary aneurysmal bone cyst (ABC) of the maxillary sinus in a 12-year-old girl. The young patient presented with progressive diplopia, strabismus, and rapidly growing painless swelling of the left cheek. Imaging studies showed a heterogeneous contrast enhancing mass expanding the left maxillary sinus. The lesion was completely resected endoscopically and histological examination reported it as an ABC. The patient recovered well and is free of recurrence 9 months following surgery. ABC is a benign lesion usually associated with other bone pathology (fibrous dysplasia). It may behave aggressively and invade the orbit; so resection is necessary. Minimally invasive techniques such as endoscopic sinus surgery can be performed successfully in select cases. Long follow up is important because recurrence may occur, in which case further resection is warranted.
Collapse
Affiliation(s)
- G Fyrmpas
- Department of Otolaryngology Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, Kiriakidi 1, 54636, Thessaloniki, Greece.
| | | | | | | | | |
Collapse
|
23
|
Mahomed F, Altini M, Meer S, Coleman H. Cemento-osseous dysplasia with associated simple bone cysts. J Oral Maxillofac Surg 2005; 63:1549-54. [PMID: 16182928 DOI: 10.1016/j.joms.2005.05.322] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2004] [Accepted: 05/19/2005] [Indexed: 10/25/2022]
Affiliation(s)
- Farzana Mahomed
- Division of Oral Pathology, Department of Anatomical Pathology, University of the Witwatersrand, PB 3 WITS, 2050 South Africa.
| | | | | | | |
Collapse
|
24
|
Burger IM, Tamargo RJ, Broussard J, Gailloud P. Combined surgical and endovascular treatment of a spontaneous diploic arteriovenous fistula. Case report. J Neurosurg 2005; 103:179-81. [PMID: 16121990 DOI: 10.3171/jns.2005.103.1.0179] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The authors report on the case of a 28-year-old woman presenting with an intraosseous arteriovenous fistula (AVF) located in the left parietal bone. The fistula was formed by direct arteriovenous shunts connecting branches of the left middle meningeal and superficial temporal arteries with a parietal diploic vein. Drainage occurred through both the external and internal jugular venous systems. Therapy consisted of combined surgical and endovascular approaches. The results of a pathological examination of the resected AVF showed mild enlargement of the diploic space. The angiographic appearance, pathological anatomy, and treatment of this rare lesion are discussed, as is a possible relationship between diploic AVFs and the development of aneurysm bone cysts.
Collapse
Affiliation(s)
- Ingrid M Burger
- Division of Interventional Neuroradiology, and Departments of Pathology and Neurosurgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
| | | | | | | |
Collapse
|
25
|
Oz G, Dolanmaz D, Uçkan S, Günhan O, Armstrong JW. Persistent painful swelling in the posterior mandible. J Oral Maxillofac Surg 2004; 62:1139-43. [PMID: 15346367 DOI: 10.1016/j.joms.2003.11.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Gülsün Oz
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Selçuk, Konya, Turkey.
| | | | | | | | | |
Collapse
|
26
|
Rapidis AD, Vallianatou D, Apostolidis C, Lagogiannis G. Large lytic lesion of the ascending ramus, the condyle, and the infratemporal region. J Oral Maxillofac Surg 2004; 62:996-1001. [PMID: 15278865 DOI: 10.1016/j.joms.2004.04.009] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Alexander D Rapidis
- Department of Oral and Maxillofacial Surgery, Greek Anticancer Institute, St. Savvas Hospital, Athens, Greece.
| | | | | | | |
Collapse
|
27
|
Hrishikesh KA, Narlawar RS, Deasi SB, Aniruddha K, Maheshwari S. Case report: Aneurysmal bone cyst of the ethmoid bone. Br J Radiol 2002; 75:916-8. [PMID: 12466259 DOI: 10.1259/bjr.75.899.750916] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Aneurysmal bone cysts (ABCs) are benign, slow growing expansile lesions usually found in long bones or vertebrae. Plain radiography reveals expansion of bone and cortical thinning. MRI may assist in diagnosis by virtue of its ability to demonstrate blood-fluid levels, which is a characteristic finding in these lesions. Very few cases of ABC of the paranasal sinuses have been reported in the literature. We present MRI findings of ABC of the ethmoid sinus in a 19-year-old male.
Collapse
Affiliation(s)
- K A Hrishikesh
- Department of Radiology, Jaslok Hospital and Research Centre, Mumbai 400 012, India
| | | | | | | | | |
Collapse
|
28
|
Nadkarni T, Goel A, Desai K, Aiyer P, Shenoy A. Massive aneurysmal bone cyst of the anterior cranial fossa floor--case report. Neurol Med Chir (Tokyo) 2001; 41:615-9. [PMID: 11803589 DOI: 10.2176/nmc.41.615] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 19-year-old male patient presented with a midline facial, nose, and forehead hard and bony swelling associated with hypertelorism. Neuroimaging revealed a massive tumor involving the anterior cranial fossa floor, which had occupied and enlarged all paranasal air sinuses, and displaced the orbits outwards and the frontal lobes of the brain superiorly. A basal transcranial route was used for radical resection of the massive and vascular tumor. Histological examination confirmed an aneurysmal bone cyst. Such tumors only rarely involve the cranial bones or paranasal air sinuses.
Collapse
Affiliation(s)
- T Nadkarni
- Department of Neurosurgery, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, India
| | | | | | | | | |
Collapse
|
29
|
Affiliation(s)
- T A Burd
- Department of Orthopedic Surgery, University of Missouri Hospital & Clinics, Columbia 65212, USA
| | | | | | | |
Collapse
|
30
|
Ferretti C, Coleman H, Dent M, Altini M. Cystic degeneration in fibrous dysplasia of the jaws: a case report. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1999; 88:337-42. [PMID: 10503865 DOI: 10.1016/s1079-2104(99)70039-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A case of nonspecific cystic degeneration complicating fibrous dysplasia of the mandible is presented. This condition is extremely rare in the jaw bones. The patient had a painless swelling of the right face measuring 10 cm in diameter, and there was no history of trauma. Radiographs showed a poorly defined, "ground glass" radiopaque lesion; a central well-defined cyst was confirmed by means of computed tomography. During surgery, a large cystic cavity with surrounding, soft fibrous bone that merged with the cortex was observed. Histologic examination showed a large non-epithelial-lined cystic cavity with a surrounding fibro-osseous lesion, which was consistent with a diagnosis of fibrous dysplasia.
Collapse
Affiliation(s)
- C Ferretti
- Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa
| | | | | | | |
Collapse
|
31
|
Saito K, Fukuta K, Takahashi M, Seki Y, Yoshida J. Benign fibroosseous lesions involving the skull base, paranasal sinuses, and nasal cavity. Report of two cases. J Neurosurg 1998; 88:1116-9. [PMID: 9609311 DOI: 10.3171/jns.1998.88.6.1116] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The authors report two patients with benign fibroosseous lesions involving the center of the skull base: a 15-year-old boy with repetitive meningitis and pneumocephalus and a 11-year-old boy with nasal obstruction and headache. The clinical diagnoses were ossifying fibroma and aneurysmal bone cyst, respectively. Lesions in both patients extended to the nasal cavity, the sphenoid and posterior ethmoid sinuses, and the skull base, where the planum sphenoidale, the sella turcica, the upper two-thirds of the clivus, and the medial portion of the middle cranial base were involved. The lesions were totally removed using an anterior craniofacial approach. Characteristics of these lesions and the surgical approach are discussed.
Collapse
Affiliation(s)
- K Saito
- Department of Neurosurgery, Nagoya University School of Medicine, Japan
| | | | | | | | | |
Collapse
|
32
|
Kalantar Motamedi MH. Aneurysmal bone cysts of the jaws: clinicopathological features, radiographic evaluation and treatment analysis of 17 cases. J Craniomaxillofac Surg 1998; 26:56-62. [PMID: 9563596 DOI: 10.1016/s1010-5182(98)80036-x] [Citation(s) in RCA: 48] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
This article re-evaluates the various clinicopathological presentations and array of radiographic features displayed by aneurysmal bone cysts (ABCs) of the jaws. In this retrospective clinical study, 17 cases of ABCs of the jaws surgically treated during an 11-year period from 1986-1997 are evaluated. The age and sex distribution, diagnostic characteristics, mode of treatment and long-term surgical results are presented and compared with the international literature. Investigation included serial clinical examinations, appropriate radiographic evaluation, CT scans and angiograms when indicated. All the patients had mandibular lesions and were managed by complete surgical curettage of the lesions. Ten were in males (58.8%) and seven (41.2%) in females. The mean age of occurrence was 21.05 years, ranging from 7 to 58 years. Clinical presentation in these patients ranged from an asymptomatic incidental radiographic finding to an expanding, rapidly progressive and destructive lesion resulting in a pathological fracture. Radiographic findings varied from unicystic radiolucencies or moth-eaten radiolucencies to extensive multilocular lesions causing bilateral expansion and destruction of the mandibular cortices. Twelve of the patients (70.5%) could recall a history of trauma. Needle aspiration with a 16 or 18 guage needle was positive, producing syringes full of blood in all but two of the cases (88.2%). Six cases (35.2%) were extremely vascular and had increased rapidly in size, and three required angiographic studies for preoperative diagnosis and differentiation from other vascular entities. Nine of the cases (52.9%) were found in the mandibular angle-ramus area. Four cases (23.5%) required extraoral surgical access for curettage while the remainder were treated intraorally. During the follow-up period, which ranged from 2-11 years, no recurrences have occurred. Restoration of facial symmetry and bone formation has been favourable in all patients, despite the fact that grafts were not used. This 11-year study shows that ABCs present with varied clinicopathological and radiographic features and thus may pose a diagnostic dilemma. As we have not noted any recurrences following surgical curettage of mandibular lesions, we feel that initial surgical resection or bone grafting is not necessary, provided that adequate access and complete curettage can be obtained.
Collapse
|
33
|
Arden RL, Bahu SJ, Lucas DR. Mandibular Aneurysmal Bone Cyst Associated with Fibrous Dysplasia. Otolaryngol Head Neck Surg 1997; 117:S153-6. [PMID: 9419133 DOI: 10.1016/s0194-59989770087-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- R L Arden
- Department of Otolaryngology-Head and Neck Surgery, Harper-Grace Hospitals, Wayne State University School of Medicine, Detroit, Michigan 48201, USA
| | | | | |
Collapse
|
34
|
Abstract
PURPOSE This study evaluated the significant differences in clinicopathologic features of aneurysmal bone cyst in the maxilla and mandible. MATERIALS AND METHODS A search of the literature showed 30 recorded maxillary cases, and these together with one previously unrecorded case formed the basis of the study. RESULTS There were no differences in the age and sex incidence. Only two patients complained of pain, and no patient complained of tenderness. No patient gave a history of trauma. Swelling was present in virtually every patient. In seven cases, there was tooth mobility or migration of teeth. Two patients complained of paresthesia. Four patients presented with proptosis, two of whom complained of diplopia. The radiographic appearance of the aneurysmal bone cyst is suggestive but not diagnostic. CONCLUSION Although these differences do not enable the clinician to make a definitive diagnosis before biopsy, they have important implications for management.
Collapse
Affiliation(s)
- A B Bataineh
- Faculty of Dentistry, Jordan University of Science & Technology, Irbid-Jordan
| |
Collapse
|
35
|
|
36
|
Kalantar Motamedi MH, Stavropoulos MF. Large radiolucent lesion of the mandibular condyle. J Oral Maxillofac Surg 1997. [DOI: 10.1016/s0278-2391(97)90188-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
37
|
Padwa BL, Denhart BC, Kaban LB. Aneurysmal bone cyst-"plus": a report of three cases. J Oral Maxillofac Surg 1997; 55:1144-52. [PMID: 9331239 DOI: 10.1016/s0278-2391(97)90296-2] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
MESH Headings
- Bone Cysts, Aneurysmal/complications
- Bone Cysts, Aneurysmal/pathology
- Child
- Child, Preschool
- Female
- Fibroma, Ossifying/complications
- Fibroma, Ossifying/pathology
- Granuloma, Giant Cell/complications
- Granuloma, Giant Cell/pathology
- Histiocytoma, Benign Fibrous/complications
- Histiocytoma, Benign Fibrous/pathology
- Humans
- Mandibular Diseases/complications
- Mandibular Diseases/pathology
- Mandibular Neoplasms/complications
- Mandibular Neoplasms/pathology
- Neoplasm Recurrence, Local/pathology
- Recurrence
- Retrospective Studies
Collapse
Affiliation(s)
- B L Padwa
- Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Children's Hospital, Boston, MA 02115, USA
| | | | | |
Collapse
|
38
|
Shibahara T, Noma H, Yamane GY, Hashimoto S. Large cementifying fibroma in a patient with osteogenesis imperfecta. J Oral Maxillofac Surg 1996; 54:1016-9; discussion 1019-20. [PMID: 8765392 DOI: 10.1016/s0278-2391(96)90403-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- T Shibahara
- First Department of Oral and Maxillofacial Surgery, Tokyo Dental College, Chiba-city, Japan
| | | | | | | |
Collapse
|
39
|
Abstract
BACKGROUND Aneurysmal bone cysts are rare vascular lesions that are most commonly found in the long bones. They are rare in the head and neck. Only two prior cases of aneurysmal bone cysts of the zygoma have been reported in the world literature. RESULTS We report a case of aneurysmal bone cyst arising in the zygomatic arch with intracranial extension treated with selective arterial embolization and complete excision via an intratemporal fossa approach. This is the first such case reported in the head and neck surgery literature. CONCLUSIONS Selected cases of aneurysmal bone cyst may be safely treated with selective arterial embolization and complete resection.
Collapse
Affiliation(s)
- E L Page
- Division of Otorhinolaryngology, University of Alabama at Birmingham 35233
| | | |
Collapse
|
40
|
Abstract
Eleven cases of aneurysmal bone cyst of the mandible treated during a 7-year period were studied. The clinicopathologic features, age distribution, treatment, and surgical results were evaluated and compared with the international literature.
Collapse
Affiliation(s)
- M H Motamedi
- Oral and Maxillofacial Surgery Clinic, Baqiyatallah Hospital, Imam Hosein University of Medical Sciences, Tehran, Islamic Republic of Iran
| | | |
Collapse
|
41
|
Abstract
Aneurysmal bone cyst engraftment on benign fibro-osseous lesions, well known to occur in the extracranial skeleton, has been reported infrequently in the craniofacial bones. When this combined lesion occurs in the skull the clinical and radiographic features often suggest an aggressive neoplasm. The clinical, radiographic, and pathologic features of five cases are presented, and this uncommon lesion of the craniofacial bones is discussed in view of these cases and those reported in the literature.
Collapse
Affiliation(s)
- K J Wojno
- Johns Hopkins Hospital, Baltimore, Maryland 21205
| | | |
Collapse
|
42
|
Hernandez GA, Castro A, Castro G, Amador E. Aneurysmal bone cyst versus hemangioma of the mandible. Report of a long-term follow-up of a self-limiting case. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1993; 76:790-6. [PMID: 8284087 DOI: 10.1016/0030-4220(93)90053-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The aneurysmal bone cyst is an enigmatic and misnamed lesion displaying variable etiopathogenic and histologic characteristics. The aneurysmal bone cyst may appear as a primary lesion or as a secondary lesion associated with other pathologic entities. This article presents a probable self-limiting lesion that provides an opportunity to present an approach to classifying aneurysmal bone lesions.
Collapse
Affiliation(s)
- G A Hernandez
- Dental School Universidad Nacional, Sante Fe de Bogata, Columbia
| | | | | | | |
Collapse
|
43
|
Abstract
The aneurysmal bone cyst is a nonmalignant lesion that by expanding disrupts the architecture of the affected bone and destroys surrounding tissue. Developing rarely in the craniofacial region, and more commonly affecting the long bones and the spine, the lesion has characteristic radiographic features but is definitively diagnosed only by pathologic characteristics. Complete surgical excision is used to treat aneurysmal bone cyst, with either curettage or composite resection. Recurrence is common in incompletely excised lesions. Adjunctive cryotherapy reduces the risk of recurrence, and radiotherapy is reserved for nonresectable lesions. The case we report of a young man seen for a large mandibular aneurysmal bone cyst demonstrates the complexity of diagnosing and treating this condition.
Collapse
Affiliation(s)
- C Trent
- Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California
| | | |
Collapse
|
44
|
Affiliation(s)
- M H Motamedi
- Department of Oral and Maxillofacial and Reconstructive Surgery, Baqiyatallah University Hospital, Tehran, Iran
| | | |
Collapse
|
45
|
Penfold CN, McCullagh P, Eveson JW, Ramsay A. Giant cell lesions complicating fibro-osseous conditions of the jaws. Int J Oral Maxillofac Surg 1993; 22:158-62. [PMID: 8340626 DOI: 10.1016/s0901-5027(05)80242-5] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Three patients who presented with giant cell lesions complicating ossifying fibroma, Paget's disease, and cherubism are reported. The giant cell lesions complicating ossifying fibroma and cherubism were diagnosed as giant cell granuloma (GCG), whereas the lesion complicating Paget's disease demonstrated more aggressive clinical and histologic features. The possible therapeutic and prognostic implications of these findings are discussed.
Collapse
|
46
|
Abstract
Aggressive central giant cell granulomas may be eliminated by administering human calcitonin 0.5 mg (100 iu) deep subcutaneously for 1 year. This avoids the need for mutilating surgery or radiotherapy in growing children. Aggressive recurrent peripheral lesions (the giant cell epulis) can also be treated by excision after calcitonin therapy. These giant cell granulomas should be redefined as osteoclast granulomas, and the aneurysmal bone cyst, the cystic osteoclast granuloma. However the stimulus for the disturbance in the osteo progenitor spindle cell needs to be defined.
Collapse
Affiliation(s)
- M Harris
- Joint Department of Maxillofacial Surgery and Oral Medicine, Eastman Dental Hospital, London
| |
Collapse
|
47
|
Abstract
Aneurysmal bone cyst (ABC) is a rare benign lesion of the head and neck. A case of an ABC in a 12-year-old female is presented, the twentieth reported such case in the maxilla. Literature review shows ABC are common in the long bones; only 2% are in the head and neck. Of the 77 lesions in the head and neck found in the literature, 31 (40%) are in the mandible, 20 (26%) are in the maxilla (including this case) and the remainder mainly in the skull. Current recommended treatment is curettage with enucleation first if technically possible.
Collapse
Affiliation(s)
- B H Matt
- Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis
| |
Collapse
|
48
|
|
49
|
Hardee PS, Whear NM, Morgan PR. Aneurysmal bone cyst of the maxilla--an association with tooth resorption. J Craniomaxillofac Surg 1992; 20:266-9. [PMID: 1401102 DOI: 10.1016/s1010-5182(05)80441-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
The aneurysmal bone cyst is an uncommon lesion of the jaws. Cases involving the maxilla have been reported infrequently. Despite uncertainty as to the aetiology of the aneurysmal bone cyst, it is regarded as a benign lesion. Conservative surgical treatment with regular postoperative follow-up is recommended. The case described here presented with tooth mobility resulting from extensive root resorption. A review of the literature reveals that significant root resorption is not a commonly reported feature of aneurysmal bone cysts. For the present case we interpret the evidence as supporting a diagnosis of idiopathic root resorption complicated by the formation of a aneurysmal bone cyst.
Collapse
Affiliation(s)
- P S Hardee
- Department of Maxillofacial Surgery, St. Richard's Hospital, Chichester, West Sussex, UK
| | | | | |
Collapse
|
50
|
Karabouta I, Tsodoulos S, Trigonidis G. Extensive aneurysmal bone cyst of the mandible: surgical resection and immediate reconstruction. A case report. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1991; 71:148-50. [PMID: 2003008 DOI: 10.1016/0030-4220(91)90456-m] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A case of extensive aneurysmal bone cyst of the mandible is described. The surgical defect was reconstructed immediately with two autogenous ribs and corallin porous hydroxyapatite. The postoperative results were good. There was no recurrence after 2 years of follow-up. The patient does not have any functional or esthetic problems.
Collapse
Affiliation(s)
- I Karabouta
- Department of Oral and Maxillofacial Surgery, Dental School, University of Salonika, Greece
| | | | | |
Collapse
|