Mandibular aneurysmal bone cyst in an elderly patient: Case report

Rațiu, Cristian; Ilea, Aranka; Gal, Florin A.; Ruxanda, Flavia; Boşca, Bianca Adina; Mitre, Viorel

doi:10.1111/ger.12325

Cited by 2 publications

(3 citation statements)

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“…The highest ABC recurrence rates (21%) (10) have been reported in relation to bone curettage due to the persistence of residual lesion, considering the absence of well-defined edges or capsule at the time of the procedure (11,12). In this case, no recurrence was observed during the follow-up of two years, which is the time in which most scientific evidence reports it (11-15)…”

Section: Discussionmentioning

confidence: 60%

“…One of the therapeutic challenges of the ABC aimed at reducing postoperative morbidity involves avoiding damage to the alveolar neurovascular bundle included or adjacent to the neoplastic lesion. Similarly, rigorous resection or curettage in all cyst walls should be oriented towards preserving as many dental pieces as possible, without considerably increasing the risk of recurrence (15).…”

Section: Discussionmentioning

confidence: 99%

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Aneurysmal bone cyst of the mandible with conservative surgical management: A case report

et al. 2019

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The aneurysmal bone cyst is a nonneoplastic, osteolytic and locally destructive lesion that mainly affects the metaphyseal area of long bones and only 2% of it is diagnosed in the maxillofacial skeleton. Although surgical treatment is the most common option, it is associated to high morbidity rates. The case of an aneurysmal bone cyst of a considerable size in a 27-year-old male patient illustrating a conservative surgical approach with preservation of the dental structures in the mandible to limit aesthetic and functional side effects is presented. Two-year clinical follow-up was performed with no evidence of recurrence. Key words: Aneurysmal bone cyst; curettage, conservative treatment, mandibular osteotomy.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Aneurysmal bone cyst of the mandible with conservative surgical management: A case report

et al. 2019

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“…A mandibular cyst-like lesion was identified in a 73-year-old patient. The therapeutic decision was enucleation of the cyst and grafting of the bone defect [22].…”

Section: Resultsmentioning

confidence: 99%

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

Vasconcelos¹,

Bannak²,

Naves³

et al. 2022

MedNEXT

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Introduction: Aneurysmal bone cysts (ABC) are pseudocysts expansive lesions. The World Health Organization (WHO) categorizes primary ABCs as cystic neoplasms that contain fibrous septa separating numerous blood-filled spaces. Approximately 70% of ABC cases are primary, while 30% are secondary. Objective: The present study aimed to carry out a concise systematic review of the main clinical findings of aneurysmal bone cysts, highlighting the incidence and prevalence, as well as the main forms of treatment. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The research was carried out from May 2022 to July 2022 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 143 articles were found. In total, 73 articles were evaluated and 10 were included and evaluated in the systematic review. The symmetric funnel plot does not suggest a risk of bias. After prospecting the main literary findings, it was generally evidenced that the aneurysmal bone cyst (ABC) is a rare lesion that is more frequently found in young adults and children. It may have unpredictable behavior, with a high recurrence rate after treatment. Standard treatment consists of curettage plus local adjuvants and bone grafting to fill the void. In anatomic sites with difficult surgical access, percutaneous procedures are used (injection of sclerosing agents, radiofrequency thermal ablation, or selective arterial embolization. Medical management with bisphosphonates or denosumab has also been advocated. Conclusion: Primary ABCs involving the maxillofacial region are extremely rare and even more in patients with advanced age. Next-generation sequencing confirmed the presence of a USP6-CDH11 fusion gene, consistent with classification as a primary aneurysmal bone cyst. Sclerotherapy provided an effective and minimally invasive treatment for aneurysmal bone cysts and is particularly useful for deep injuries, challenging surgical access, and potentially injurious vital structures.

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Mandibular aneurysmal bone cyst in an elderly patient: Case report

Abstract: Aneurysmal bone cyst in an elderly patient is a rare condition.

Cited by 2 publications

References 4 publications

Aneurysmal bone cyst of the mandible with conservative surgical management: A case report

Aneurysmal bone cyst of the mandible with conservative surgical management: A case report

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

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