Simple bone cyst of the mandibular condyle

Rubin, Mitchell M.; Murphy, Francis J.

doi:10.1016/0278-2391(89)90191-2

Cited by 27 publications

(14 citation statements)

References 11 publications

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“…The local ischemia seems to be due to an arterial dysfunction, along with altered intramedullary venous drainage, which might be interrupted. 15,16 Cyst growth then may be enhanced by the increased intramedullary pressure due to an overflow of intracystic fluid. 17 This fluid, which is very similar to blood serum, contains enzymatic elements from osseous remodeling areas present on the SBC wall, which contains significant vascularity.…”

Section: Etiopathogenesismentioning

confidence: 99%

“…15,25 In this respect, the connection between the prevalence of central giant cell granulomas in the epiphyseal and symphyseal areas and the tumoral degeneration hypothesis remains a matter of debate.…”

Section: Tumor Degenerationmentioning

confidence: 99%

“…The pressure from the hema- toma causes venous stasis that leads to an area of bone marrow necrosis 2,15,26 and osteoclastic resorption attributable to decreased tissue pH. 27,28 In the mandible, trauma also might provoke a thrombosis or a lingering spasm of a terminal artery with ischemia and aseptic necrosis, thereby leading to cyst formation.…”

Section: Traumatismmentioning

confidence: 99%

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Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Harnet¹,

Lombardi²,

Klewansky

et al. 2008

Journal of Oral and Maxillofacial Surgery

100

128

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Solitary bone cysts (SBCs) of the jaws are often polymorphic, show scalloped borders when located between the teeth roots, are devoid of an epithelial lining, and are usually empty or contain blood or a straw-colored fluid. The numerous synonyms referring to these lesions reflect their uncertain nature (eg, traumatic bone cyst, simple bone cyst). SBC, also found in other skeletal locations, is often suspected after epidemiologic and radiologic test results and confirmed at surgery. Histology usually shows fibrous connective tissue or only bone. The various etiologic elements responsible for SBC include tumor degeneration, trauma, or abnormalities during bone growth. The pathogenesis of the SBC is unknown, but it is widely accepted that it could be the result of a vascular dysfunction leading to a local posthemorrhagic ischemia, inducing an osseous aseptic necrosis. This article reviews likely but stilldebated etiopathogenic hypotheses of lesions of the jaws and other, more frequent bony locations, such as the humeral and femoral metaphysis.

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Section: Etiopathogenesismentioning

confidence: 99%

Section: Tumor Degenerationmentioning

confidence: 99%

Section: Traumatismmentioning

confidence: 99%

See 1 more Smart Citation

Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Harnet¹,

Lombardi²,

Klewansky

et al. 2008

Journal of Oral and Maxillofacial Surgery

100

128

View full text Add to dashboard Cite

show abstract

“…In initial differential diagnosis, benign and malign types of lesions could not be excluded 1,3,5,7,10 . Possible histologies included eosinophilic granuloma, central giant cell granuloma or brown tumour of hyperparathyroidism, ameloblastoma, keratocyst, myxoma, aneurysmal bone cyst and solitary bone cyst 6 ; osteosarcoma and multiple myeloma were possibilities amongst the malignant diseases.…”

Section: Discussionmentioning

confidence: 98%

Intraoral endoscopic enucleation of a solitary bone cyst of the mandibular condyle

Saia

Fusetti

Emanuelli

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…Cette nécrose osseuse, aseptique, permettrait d'expliquer l'origine vasculaire du KOS : il serait secondaire à une ischémie locale, induite par une hémorragie intramédullaire d'origine artérielle qui entraînerait une altération du drainage veineux réalisé par le réseau intramé-dullaire [17,18]. Cette hypothèse semble corroborée par la fréquence élevée des KOS observées chez les sujets atteints de drépanocytose ; cette maladie génétique, à transmission autosomique récessive, qui affecte la synthèse de l'hémoglo-bine, se traduit par des crises douloureuses dues à des microinfarctus, y compris dans l'os, secondaires à des phénomènes vaso-occlusifs [19].…”

Section: Processus Pathogèneunclassified

Kyste osseux solitaire des maxillaires : caractéristiques radiologiques et données étiopathogéniques

Harnet¹,

Féki

Lombardi

2010

Med Buccale Chir Buccale

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Mots clés : kyste osseux solitaire / radiographie / pathogénieRésumé -Le kyste osseux solitaire des maxillaires est constitué par une lésion ostéolytique, sans paroi épithéliale et au contenu variable selon le site osseux. Il réalise, dans sa localisation maxillaire, une cavité osseuse de forme géodique dont l'aspect radiologique est très souvent polymorphe. L'approche diagnostique de cette pseudo-tumeur osseuse bénigne ne repose en fait que sur la symptomatologie peu évocatrice, quelques caractéristiques sémiologiques en radiographie standard, la découverte peropératoire d'une cavité vide et l'analyse histologique qui montre l'absence de bordure épithéliale. Parfois, l'extension de la lésion lui donne un aspect très polymorphe et ouvre l'interprétation radiographique à un diagnostic différentiel très large. Une synthèse des connaissances cliniques acquises à travers les localisations osseuses maxillomandibulaires et les localisations métaphysaires humérales et fémorales, beaucoup plus fréquentes, permet de discuter les principales hypothèses étiologiques émises concernant un processus pathogène qui semble varier selon les sites osseux affectés, le mode d'apparition, l'évolution et les réponses aux thérapeutiques médico-chirurgicales proposées. Key words: solitary bone cyst / radiography / pathogenesisAbstract -Solitary bone cyst of the jaws: radiographic features and pathogenesis. The solitary bone cyst of the jaws is an osteolytic lesion, devoid of an epithelial lining, with a content that varies according to the affected skeletal site. It appears as a unilocular cavity but often with a polymorphic radiological aspect. The diagnosis of this pseudo-cyst is mainly based on poor symptomatology, some radiological features on standard X-ray examinations, and the intraoperative finding of an empty cavity along with the absence of an epithelial covering at microscopy. Occasionally, the extent of the lesion produces a polymorphic pattern, which gives rise to a wide array of differential diagnoses. The aim of this paper is to summarize clinical knowledge in relation to both jaws as well as much more frequently observed femoral and humeral metaphyseal locations, and to discuss the main etiologic hypotheses based on presentation, evolution and therapeutic approaches which apparently vary according to the involved site.Pour designer le kyste osseux solitaire (KOS), on a utilisé une terminologie très variée, parfois énigmatique (kyste idiopathique, kyste essentiel, kyste osseux simple) ou qui traduit le processus étiopathogénique suspecté (kyste osseux traumatique, hémorragique ou hématique, ostéodystrophie kystique). Cela démontre que le KOS des maxillaires reste encore une lésion très mal connue.Dans notre spécialité, le KOS est classé parmi les bonerelated lesions dans les tumeurs odontogènes des maxillaires [1]. Il est défini par une lésion ostéolytique se

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Simple bone cyst of the mandibular condyle

Cited by 27 publications

References 11 publications

Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Intraoral endoscopic enucleation of a solitary bone cyst of the mandibular condyle

Kyste osseux solitaire des maxillaires : caractéristiques radiologiques et données étiopathogéniques

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