Aneurismal bone cyst: a conservative surgical technique. A case report treated with a small access osteotomy

Authors:

ABSTRACT

Aim

BACKGROUND: Aneurismal bone cysts (ABCs) are benign, non-neoplastic, expansive, and locally destructive lesions that
may occur rarely. They are well defined and usually occur in the long bones, pelvis and vertebrae. According to the 2005 World Health
Organization (WHO) histological classification of odontogenic tumours, ABC is classified as a bone-related lesion as ossyfing fibroma,
fibrous dysplasia, osseous dysplasia, central giant cell lesion (granuloma-CGCL), cherubism and simple bone cyst (SBC). ABCs, as
CGCLs and SBCs may arise as a consequence of an earlier trauma causing an overflow of blood into the bone, though a number of
pathogenic theories have been put forward. The aim of this study is to present an unusual case of aneurismal bone cyst and to compare
the different possibilities of surgical treatment after review of the literature. CASE REPORT: ABC was localised in the posterior right
region of the mandible in an 11-year-old boy, and removed by a surgical procedure involving a small access osteotomy of the
mandibular ramus with removal of the cortical bone in order to enucleate the whole lesion, the wisdom tooth and to preserve the healthy
bone.

PLUMX METRICS