Current treatments of primary aneurysmal bone cysts

Cottalorda, J.; Bourelle, S.

doi:10.1097/01.bpb.0000210588.50899.29

Cited by 104 publications

(99 citation statements)

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“…• Sometimes, the size and vascularisation of the lesion do not allow waiting for the natural evolution of the tumour, especially since spontaneous healing is not systematically observed [20]. When the lesion quickly becomes aggressive with a clinically and radiologically increasing size after biopsy, it would be illogical and dangerous to let this ABC evolve.…”

Section: Discussionmentioning

confidence: 99%

Active aneurysmal bone cysts in children: Possible evolution after biopsy

Louahem

Kouyoumdjïan

Ghanem³

et al. 2012

Journal of Children's Orthopaedics

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Purpose The active or aggressive character in certain localisations of aneurysmal bone cysts in children requires either curettage with a considerable recurrence rate or a radical segmental excision, raising complex reconstructive challenges. Cyst maturation with subsequent ossification may be observed either spontaneously or after incisional biopsy. Patients Five new cases of active aneurysmal bone cysts (ABCs) with healing of the cyst after biopsy alone are reported. All patients had no treatment of the cyst after the biopsy. Results In two cases, the lesion initially increases in size immediately after the biopsy, and it is only secondarily that the lesion decreases in size. Four out of five cases of the spontaneous healing occurred in pelvic bone. The cysts healed after, respectively, 36, 24, 12, 32 and 12 months. Conclusions The emergence of these new cases of spontaneous healing encourages promoting clinical and radiological supervision after biopsy in selected cases. Unfortunately, it is impossible to predict a possible aggressive behaviour in ABCs. Then, if the lesion is quickly aggressive with clinically and radiologically increasing size after biopsy, it would be illogical and dangerous to let this ABC evolve. It would be necessary to treat it without delay. On the other hand, if the lesion moderately increased after the biopsy, it is possible to wait and observe the patient during a period of 5 months for a possible healing, if the ABC localisation is not dangerous. Of course, if the lesion does not increase in size after biopsy, there is no delay to treat it.

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Section: Discussionmentioning

confidence: 99%

Active aneurysmal bone cysts in children: Possible evolution after biopsy

Louahem

Kouyoumdjïan

Ghanem³

et al. 2012

Journal of Children's Orthopaedics

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“…[9] Recurrence rates after curettage have varied widely in different reports. According to a review of 690 ABCs treated with curettage and bone grafting and summarised by Cottalorda et al, [10] the recurrence rate in this series varied from 18% to 59%; the overall recurrence rate was 31%. However, in a retrospective clinical study of 17 cases of ABCs of the mandible treated with complete surgical curettage without bone grafting, there were no recurrences.…”

Section: Discussionmentioning

confidence: 99%

Endoscope-assisted enucleation and guided bone regeneration of a recurrent aneurysmal bone cyst in the mandibular condyle

Diao

Mai

Zhang

et al. 2016

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Aneurysmal bone cyst (ABC) is a locally destructive, expansive, benign bone disease which most commonly occurs in the metaphyseal region of the long bones of children and adolescents, only 1% to 3% of ABCs have been described in the jaws. The aim of this study was to explore the minimal invasive surgical technique of treating ABC occurring in the mandibular condyle. Here we present a 10-year-old girl with recurrent ABC in her left condyle and adjacent ramus. She was treated by curettage via an extraoral endoscopic-assisted surgical approach and guided bone regeneration. The patient had an uneventful postoperative period with no injury to the facial nerves and minimal scarring. No recurrence was found in 4 years (from 2011). Computed tomography (CT) showed bone formation and remodeling of the condyle and ramus. Endoscopic-assisted curettage combined with guided bone regeneration can achieve an ideal effect in the treatment of ABC of the mandibular condyle and ramus.

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“…The current methods of treatment include curettage (intralesional excision) with or without stabilization [4,[15][16][17][18], resection [4,17], intracystic injections [19], and SAE [20]. Several complications were associated to more aggressive modalities of treatment, including massive bleeding, limitation of growth and range of motion in cases of arthrodesis, and even fatal event after resection [8].…”

Section: Discussionmentioning

confidence: 99%