Untitled

Schreuder, H.W.B.; Conrad, Ernest U.; Bruckner, James D.; Howlett, Andrew T. G.; Sorensen, Lyle S.

doi:10.1097/00004694-199711000-00022

Cited by 19 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Allogenic bone graft in IBCs has many advantages such as early bone healing, prevention of soft tissue ingrowth, and easily identified recurrence. Some studies have concluded that IBC in the jaw persists at a greater rate than previously reported417. In our study, only one patient (3.7%) showed recurrence of the lesion, while a recent study has reported the recurrence rate of IBC in facial bone to be about 20%18.…”

Section: Discussioncontrasting

confidence: 62%

Surgical management of idiopathic bone cavity: case series of consecutive 27 patients

You

Kim

Ahn

2017

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

ObjectivesIdiopathic bone cavity (IBC) is an uncommon intra-osseous cavity of unknown etiology. Clinical features of IBC are not well known and treatment modalities of IBC are controversial. The purpose of this study was to investigate the clinical characteristics of 27 IBC patients who underwent surgical exploration.Materials and MethodsA total of 27 consecutive patients who underwent surgery due to a jaw bone cavity from April 2006 to February 2016 were included in this study. Nine male and 18 female patients were enrolled. Patients were examined retrospectively regarding primary site, history of trauma, graft material, radiographic size of the lesion, presence of interdental scalloping, erosion of the inferior border of the mandible, complications, results of bone graft, and recurrence.ResultsFemale dominance was found. Maxillary lesion was found in one patient, and bilateral posterior mandibular lesions were found in two patients. The other patients showed a single mandibular lesion. The posterior mandible (24 cases) was the most common site of IBC, followed by the anterior mandible (5 cases). Two patients with anterior mandibular lesion reported history of trauma due to car accident, while the others denied any trauma history. Radiographic cystic cavity length over 30 mm was found in 10 patients. Seven patients showed erosion of the mandibular inferior border. The operations performed were surgical exploration, curettage, and bone or collagen graft. One bilateral IBC patient showed recurrence of the lesion during follow-up. Grafted bone was integrated into the native mandibular bone without infection. One patient reported necrosis of the mandibular incisor pulp after operation.ConclusionDifferential diagnosis of IBC is difficult, and IBC is often confused with periapical cyst. Surgical exploration and bone graft are recommended for treating IBC. Endodontic treatment of involved teeth should be evaluated before operation. Bone graft is recommended to reduce the healing period.

show abstract

Section: Discussioncontrasting

confidence: 62%

Surgical management of idiopathic bone cavity: case series of consecutive 27 patients

You

Kim

Ahn

2017

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…There have been studies that argue for tourniquet use to decrease circulation and increase bone necrosis [4]. Opponents believe that tourniquets decrease skin and nerve vascularization which can lead to skin necrosis or neurapraxia [28]. However, we did not find an increased risk of soft tissue complications when using the tourniquet.…”

Section: Discussioncontrasting

confidence: 55%

Postoperative complications with cryotherapy in bone tumors

Chen

Garlich

Vincent

et al. 2017

Journal of Bone Oncology

View full text Add to dashboard Cite

The technique of cryosurgery has been used to control local recurrence in a variety of benign and malignant bone tumors. Early studies revealed significant complication rates (25%) that included fracture, infection, and soft tissue injury. Our method of cryosurgery has yielded excellent tumor control with improved complication rates. The objective of this study is to determine the characteristics of postoperative complications after pouring liquid nitrogen into curettaged bone defects, and to review our current indications and surgical technique in bone tumor management.We reviewed charts in over 200 patients who received cryoablation for bone tumors from 1994 to 2015. Imaging studies were evaluated in all patients diagnosed with a complication. All patients receiving cryotherapy had soft tissue management intraoperatively that included warm saline directed to the structures. Liquid nitrogen was poured into the bone defect and in some cases, additional spraying with a cryogun into the defect was performed.The majority of cryotherapy was used in cases of active or aggressive benign tumors. Our low complication rate of 2.34% included 1 post-operative fracture, 3 infection, and 1 paraesthesia. Bone graft or cementation was used in the majority of patients, all of which fully incorporated.Cryoablation is an excellent from of adjuvant therapy for active and aggressive benign tumors and may be used in malignant tumors as well. Soft tissue protection is critical to avoid skin necrosis and wound breakdown. We recommend the use of cryotherapy in active and aggressive bone tumors as an adjuvant treatment prior to bone grafting or cementation.

show abstract

“…The absolute incidence is unknown, but the rate among all bone lesions is about 3%, with a male to female ratio of 2:1 [1,2]. Most UBC are detected between the age of nine and fifteen [1,3]. Despite their first recognition by Virchow in 1876 [4], the etiology of UBC remains unknown.…”

Section: Introductionmentioning

confidence: 99%

Mid- and long-term clinical results of surgical therapy in unicameral bone cysts

Hagmann

Eichhorn

Moradi

et al. 2011

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundUnicameral (or simple) bone cysts (UBC) are benign tumours most often located in long bones of children and adolescents. Pathological fractures are common, and due to high recurrence rates, these lesions remain a challenge to treat. Numerous surgical procedures have been proposed, but there is no general consensus of the ideal treatment. The aim of this investigation therefore was to study the long-term outcome after surgical treatment in UBC.MethodsA retrospective analysis of 46 patients surgically treated for UBC was performed for short and mid-term outcome. Clinical and radiological outcome parameters were studied according to a modified Neer classification system. Long-term clinical information was retrieved via a questionnaire at a minimum follow-up of 10 years after surgery.ResultsForty-six patients (17 female, 29 male) with a mean age of 10.0 ± 4.8 years and with histopathologically confirmed diagnosis of UBC were included. Pathological fractures were observed in 21 cases (46%). All patients underwent surgery for UBC (35 patients underwent curettage and bone grafting as a primary therapy, 4 curettage alone, 3 received corticoid instillation and 4 decompression by cannulated screws). Overall recurrence rate after the first surgical treatment was 39% (18/46), second (17.4% of all patients) and third recurrence (4.3%) were frequently observed and were addressed by revision surgery. Recurrence was significantly higher in young and in male patients as well as in active cysts. After a mean of 52 months, 40 out of 46 cysts were considered healed. Prognosis was significantly better when recurrence was observed later than 30 months after therapy. After a mean follow-up of 15.5 ± 6.2 years, 40 patients acknowledged clinically excellent results, while five reported mild and casual pain. Only one patient reported a mild limitation of range of motion.ConclusionsOur results suggest satisfactory overall long-term outcome for the surgical treatment of UBC, although short-and mid-term observation show a considerable rate of recurrence independent of the surgical technique.

show abstract

Untitled

Cited by 19 publications

References 25 publications

Surgical management of idiopathic bone cavity: case series of consecutive 27 patients

Surgical management of idiopathic bone cavity: case series of consecutive 27 patients

Postoperative complications with cryotherapy in bone tumors

Mid- and long-term clinical results of surgical therapy in unicameral bone cysts

Contact Info

Product

Resources

About