1678 A Rare Example of a Simple Bone Cyst of The Ascending Ramus in A Paediatric Patient

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Aruede ◽  
E Carey ◽  
K Bhatia ◽  
K Smart

Abstract A simple bone cyst is described as an intra-osseous pseudocyst, devoid of an epithelial lining and either empty of filled with serous or sanguineous fluid. This case presents a rare example of a simple bone cyst of the ascending ramus of the mandible in a paediatric patient. Studies have shown that less than 5% of simple bone cysts of the jaw bones are located within the mandibular ramus, with the most common site being the premolar-molar region (75%). The 14-year-old female was referred by her orthodontist to the local Oral and Maxillofacial department, for an incidental finding on her pre-orthodontic OPT of a radiolucency in the left ascending ramus. Her medical history was clear, she was asymptomatic and had no sensory deficit. A CT scan demonstrated a 22mm multilocular radiolucency centred on the left ascending ramus, extending superiorly up to the base of the coronoid process and condylar neck. Inferiorly, the radiolucency abutted but did not involve the unerupted third molar. The scan highlighted thinning of the buccal and lingual cortices putting the patient at risk of pathological fracture. The inferior alveolar nerve canal passed through the lingual aspect of the radiolucency. The patient underwent exploration of the left mandible which revealed an empty bony cavity, with no cystic lining or contents. The definitive diagnosis of a simple bone cyst was established. She experienced satisfactory healing by her review appointment 4 weeks post-surgery. Combined radiographic and clinical assessment is important in the diagnosis of simple bone cysts.

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 167-173 ◽  
Author(s):  
Hiroshi Yajima ◽  
Keiichi Murata ◽  
Kenji Kawamura ◽  
Kenji Kawate ◽  
Yoshinori Takakura

This article documents the outcome of treatment of intraosseous ganglia and simple bone cysts of the carpal bones by curettage and injectable calcium phosphate bone cement (CPC) grafting. The patients consisted of five men and three women. One had a cystic lesion in the scaphoid, one in the hamate, and five in the lunate. Curettage of the lesions was performed, and CPC was injected into the cavity. Five patients were diagnosed with a ganglion and three with a simple bone cyst. Among the five patients with wrist pain, the pain disappeared completely in four. Radiographs showed apparent partial absorption of CPC in four patients and no absorption in other four. There were no recurrence of tumours and no other complications were encountered. We conclude that calcium phosphate bone cement is a useful material for repairing bone defect after curettage of an intraosseous ganglion or bone cyst of a carpal bone.


2012 ◽  
Vol 2 (3) ◽  
pp. 59 ◽  
Author(s):  
Charan Babu HS ◽  
Bhagawan Das Rai ◽  
Manju A. Nair ◽  
Madhusudan S. Astekar

Simple bone cysts (SBC) are pseudocysts occurring less commonly in the maxillofacial region. The uncertain and unclear etiopathogenesis led to numerous synonyms to refer this particular cyst. These cysts are devoid of an epithelial lining and are usually empty or contain blood or straw-colored fluid. In jaws initially it mimics a periapical cyst and later can lead to cortical bone expansion warranting for radical approach, which is seldom required. SBC is predominantly diagnosed in first two decades of life. Here we report a case of solitary bone cyst mimicking a periapical cyst of a mandibular molar in a 37-year-old patient.


2014 ◽  
Vol 3 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Yavuz Findik ◽  
Timuçin Baykul ◽  
Mert Bülte

ABSTRACT The term ‘solitary bone cyst’ defines several lesions such as simple bone cyst, hemorrhagic cyst, traumatic bone cyst, and idiopathic bone cavity. Solitary bone cysts are not true cysts, they lack an epithelial lining and their etiology is uncertain. Solitary bone cysts are common lesions affecting long bones and less frequently, the jaws, especially the mandible. Lesions usually presents a typical radiographic appearance. The goal of this paper is to report a case of a solitary bone cyst in a 19-yearold female mimicking multiloculer benign neoplasm and review the literature. The lesion was treated by surgical curettage. No additional treatment, such as a surgical reconstruction or bone graft was needed. How to cite this article Fındık Y, Baykul T, Bülte M. Huge Solitary Bone Cyst located in Posterior Mandible. Int J Experiment Dent Sci 2014;3(1):53-56.


Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 147-150 ◽  
Author(s):  
J. A. Sproule ◽  
E. Salmo ◽  
G. Mortimer ◽  
M. O'Sullivan

Aneursymal Bone Cysts (ABCs) involving the hand are a rare occurrence. We report a case of an ABC of the proximal phalanx of the thumb in a boy which was treated successfully with curettage and autologous bone grafting. When the diagnosis of ABC of the small bones of the hand is entertained, prompt therapeutic intervention is indicated because of the potential for aggressive local behaviour. In the paediatric patient, simple surgery to preserve the growth plate is recommended.


Author(s):  
Thaufiq Ahamed M. I. ◽  
Naveen Jayakumar ◽  
Neelakandan R. S.

Background: The aim of this prospective study was to determine the incidences of inferior alveolar nerve and lingual nerve deficit following surgical removal of impacted mandibular third molars and to evaluate the risk factors responsible for these postoperative neurosensory deficits.Methods: A total of 80 patients who reported to department of oral and maxillofacial surgery, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India requiring surgical removal of impacted mandibular third molar were included in this cross-sectional study. Standard surgical procedure was performed. All patients were reassessed one week post-surgery. Subjectively reported altered sensations were recorded and objective assessments were performed with light touch test, two-point discrimination threshold and pin-pick pain threshold. The collected data was analyzed using the chi square test to find out any clinical relevance.Results: There was no inferior alveolar nerve related neurosensory deficits and 6 (7.5%) resulted in lingual nerve related neurosensory deficits. The incidence of LN deficit for mesioangular, horizontal, distoangular was 1.3%, 3.8% and 2.5% respectively. Type of impaction assumed a mild statistical significance (p = 0.050).Conclusions: This study highlights the importance of careful preoperative clinical and radiographic assessment of patients where third molar surgery is planned. The surgical technique of third molar removal is also likely to have great impact on the outcome.


2020 ◽  
Vol 4 (1) ◽  
pp. 52-56
Author(s):  
Lucas Fraga ◽  
Rogério Barros ◽  
Roberto Maia ◽  
Marcus Santos ◽  
Rodrigo Martins

Os cistos ósseos simples são, em regra, assintomáticos e encontrados incidentalmente, embora possam causar dor, edema, rigidez da articulação adjacente ou estarem associados a um quadro de fratura patológica. A curetagem é o modo mais comum de tratamento. O defeito ósseo após curetagem deve ser preenchido com enxertos ósseos ou substitutos, como hidroxiapatita, fosfato tricálcico e cimento. Entretanto, a falha no tratamento pode ser devastadora para o ombro, em decorrência da perda biomecânica da área. Assim, a reconstrução do úmero proximal, após a ressecção do cisto, é um grande desafio para o cirurgião ortopédico. Este caso relata a colocação de uma prótese reversa de ombro (PRO), realizada após a falha do tratamento de um cisto ósseo simples, como uma solução eficiente para a reparação do problema.   Simple bone cyst are commonly asymptomatic and incidentally found, although they can cause pain, edema, stiffness of the adjacent joint or be associated with a pathological fracture. Curettage is the most common way of treating simple bone cysts. The bone defect after curettage must be filled with bone grafts or substitutes such as hydroxyapatite, tricalcium phosphate and cement. However, treatment failure can be devastating for the shoulder, due to the biomechanical loss of the area. Thus, the reconstruction of the proximal humerus after resection of the cyst is a major challenge for the orthopedic surgeon. This case reports the placement of a reverse shoulder prosthesis (PRO), performed after the failure of the treatment of a simple bone cyst, as an efficient solution to the problems related to the failure of treatment for the simple bone cyst.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ítalo de Lima Farias ◽  
Elma Mariana Verçosa de Melo Silva ◽  
Tiburtino José de Lima Neto ◽  
Paulo Rogério Ferreti Bonan ◽  
Sirius Dan Inaoka ◽  
...  

Introdução: O cisto ósseo simples é uma lesão benigna intra-óssea considerada um pseudocisto, de etiologia incerta, crescimento lento, radiograficamente radiolúcida e de tratamento simples. Porém, pode fazer diagnóstico diferencial com outras lesões mais agressivas, e a ausência ou tênue presença de uma cápsula cística prejudica seu diagnóstico histopatológico. Objetivo: discutir os detalhes dos achados clínicos, radiográficos, histopatológicos e cirúrgicos para o cisto ósseo simples, bem como, o acompanhamento e o desfecho de um caso em corpo mandibular. Material e Método: Estudo descritivo de relato de caso. Resultados: foi realizada exploração cirúrgica e ostectomia periférica em lesão mandibular radiolúcida, observando-se no trans-cirúrgico discreta presença de material intralesional enviado para análise histopatológica. Conclusão: apesar do tratamento ser simples, o diagnóstico do cisto ósseo simples continua sendo um desafio, onde a exploração cirúrgica é o método mais preciso de diagnóstico e tratamento, mas a avaliação histopatológica é indispensável para exclusão de outras patologias.Descritores: Cistos Ósseos; Mandíbula; Diagnóstico.ReferênciasWorld Health Organization (WHO). Classification of tumours – Pathology and Genetics of Head and Neck Tumours. 3rd edition. Lyon: IARC Press; 2005.Main DM. Epithelial jaw cysts: 10 years of the WHO Classification. J Oral Pathol. 1985;14(1):1-7.Rushton MA. Solitary bone cysts in the mandible. Br Dent J. 1946;81(2):37-49.Seehra J, Horner K, Sloan P. The unusual cyst: solitary bone cyst of the jaws. Dent Update. 2009;36(8):502-8.Chell M, Idle M, Green J. Case report: an unusual finding of a solitary bone cyst in a patient with a fractured mandible. Dent Update. 2015; 42(10):977-78.Wong-Romo G, Carrillo-Terán E, Ángeles-Varela E. Solitary mandibular bone cyst. Case report and literature review. Rev Odont Mex. 2016;20(2):e112-19.Andrade EL, Cerqueira LS, Rebouças DS, Ferreira TG, Marchionni AMT. Cisto ósseo simples: relato de caso. Rev cir traumatol buco-maxilo-fac. 2016;16(2):36-9.Horne RP, Meara DJ, Granite EL. Idiopathic bone cavities of the mandible: an update on recurrence rates and case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(2):e71-3.Resnick CM, Dentino KM, Garza R, Padwa BL. A management strategy for idiopathic bone cavities of the jaws. J Oral Maxillofac Surg. 2016;74(6):1153-58.Rivero ERC, Daltoé FP, Mello FW, de Souza CECP, Grando LJ. Aspiration and cytological evaluation of idiopathic bone cavities of the jaw. Tissue Cell. 2017;49(3):435-39.MacDonald-Jankowski DS. Traumatic bone cysts in the jaws of a Hong Kong Chinese population. Clin Radiol.1995;(50):787-91.Chrcanovic BR, Gomez RS. Idiopathic bone cavity of the jaws: an updated analysis of the cases reported in the literature. Int J Oral Maxillofac Surg. 2019;48(7):886-94.Harnet JC, Lombardi T, Klewansky P, Rieger J, Tempe MH, Clavert JM. Solitary bone cyst of the jaws: a review of the etiopathogenic hypotheses. J Oral Maxillofac Surg. 2008; 66(11):2345-48.Silveira HA, Cardoso CL, Pexe M, Araujo RZ, Condezo AB, Curi MM. Simple bone cyst in a 7-year-old child. RGO Rev Gauch Odontol. 2017;65(1):83-6.Ankha MEA, Nascimento R, Raldi F, Moraes M, Ribeiro Z, Santos L. Traumatic bone cyst and congenital muscular torticollis: association or a chance? Rev Esp Cir Oral Maxilofac. 2017;39(1):28-49.Ishimoto S, Tanaka S, Maatsishita Y, Kogo M. Mandibular simple bone cyst in a patient with first and second branchial arch syndrome. J Oral Maxillofac Surg Med Pathol. 2017;29(6):538-41.Saia G, Fusetti S, Emanuelli E, Ferronato G, Procopio O. Intraoral endoscopic enucleation of a solitary bone cyst of the mandibular condyle. Int J Oral Maxillofac Surg. 2012;41(3):317-20Bai XF, Hu ZP, Xu Z, Wushou A. Solitary bone cyst of the zygomatic bone. J Oral Maxillofac Surg Med Pathol. 2015;27(2):213-15.Suei Y, Taguchi A, Tanimoto K. Simple bone cyst of the jaws: Evaluation of treatment outcome by review of 132 cases. J Oral Maxillofac Surg. 2007;65(5):918-23.Mathew R, Omami G, Gianoli D, Lurie A. Unusual cone-beam computerized tomography presentation of traumatic (simple) bone cyst: case report and radiographic analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(3):410-13.


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