Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Surgical management of idiopathic bone cavity: case series of consecutive 27 patients

  • You, Myoung-Sang (Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Dong-Young (Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Kang-Min (Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2016.10.14
  • Accepted : 2016.12.11
  • Published : 2017.04.30
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Abstract

Objectives: Idiopathic bone cavity (IBC) is an uncommon intra-osseous cavity of unknown etiology. Clinical features of IBC are not well known and treatment modalities of IBC are controversial. The purpose of this study was to investigate the clinical characteristics of 27 IBC patients who underwent surgical exploration. Materials and Methods: A total of 27 consecutive patients who underwent surgery due to a jaw bone cavity from April 2006 to February 2016 were included in this study. Nine male and 18 female patients were enrolled. Patients were examined retrospectively regarding primary site, history of trauma, graft material, radiographic size of the lesion, presence of interdental scalloping, erosion of the inferior border of the mandible, complications, results of bone graft, and recurrence. Results: Female dominance was found. Maxillary lesion was found in one patient, and bilateral posterior mandibular lesions were found in two patients. The other patients showed a single mandibular lesion. The posterior mandible (24 cases) was the most common site of IBC, followed by the anterior mandible (5 cases). Two patients with anterior mandibular lesion reported history of trauma due to car accident, while the others denied any trauma history. Radiographic cystic cavity length over 30 mm was found in 10 patients. Seven patients showed erosion of the mandibular inferior border. The operations performed were surgical exploration, curettage, and bone or collagen graft. One bilateral IBC patient showed recurrence of the lesion during follow-up. Grafted bone was integrated into the native mandibular bone without infection. One patient reported necrosis of the mandibular incisor pulp after operation. Conclusion: Differential diagnosis of IBC is difficult, and IBC is often confused with periapical cyst. Surgical exploration and bone graft are recommended for treating IBC. Endodontic treatment of involved teeth should be evaluated before operation. Bone graft is recommended to reduce the healing period.

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References

  1. Gowgiel JM. Simple bone cyst of the mandible. Oral Surg Oral Med Oral Pathol 1979;47:319-22. https://doi.org/10.1016/0030-4220(79)90253-6
  2. Kuhmichel A, Bouloux GF. Multifocal traumatic bone cysts: case report and current thoughts on etiology. J Oral Maxillofac Surg 2010;68:208-12. https://doi.org/10.1016/j.joms.2009.07.024
  3. Rushton MA. Solitary bone cysts in the mandible. Br Dent J 1946;81:37-49.
  4. Resnick CM, Dentino KM, Garza R, Padwa BL. A management strategy for idiopathic bone cavities of the jaws. J Oral Maxillofac Surg 2016;74:1153-8. https://doi.org/10.1016/j.joms.2015.12.014
  5. Blum T. Do all cysts of the jaws originate from the dental system? (With a report of two nondental cysts lined with ciliated columnar epithelium). J Am Dent Assoc 1929;16:647-61.
  6. Coindre JM. New WHO classification of tumours of soft tissue and bone. Ann Pathol 2012;32(5 Suppl):S115-6. https://doi.org/10.1016/j.annpat.2012.07.006
  7. 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;66:2345-8. https://doi.org/10.1016/j.joms.2007.08.035
  8. Velez I, Cardenas LE, Evans B. Idiopathic bone cavity mimics odontogenic lesion. Todays FDA 2006;18:21-3.
  9. Damante JH, Da S Guerra EN, Ferreira Jr O. Spontaneous resolution of simple bone cysts. Dentomaxillofac Radiol 2002;31:182-6. https://doi.org/10.1038/sj.dmfr.4600696
  10. Sapp JP, Stark ML. Self-healing traumatic bone cysts. Oral Surg Oral Med Oral Pathol 1990;69:597-602. https://doi.org/10.1016/0030-4220(90)90243-L
  11. Szerlip L. Traumatic bone cysts. Resolution without surgery. Oral Surg Oral Med Oral Pathol 1966;21:201-4. https://doi.org/10.1016/0030-4220(66)90243-X
  12. Chapman PJ, Romaniuk K. Traumatic bone cyst of the mandible; regression following aspiration. Int J Oral Surg 1985;14:290-4. https://doi.org/10.1016/S0300-9785(85)80042-9
  13. Howe GL. 'Haemorrhagic cysts' of the mandible. I. Br J Oral Surg 1965;3:55-76. https://doi.org/10.1016/S0007-117X(65)80008-7
  14. Copete MA, Kawamata A, Langlais RP. Solitary bone cyst of the jaws: radiographic review of 44 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:221-5. https://doi.org/10.1016/S1079-2104(98)90430-9
  15. Shigematsu H, Fujita K, Watanabe K. Atypical simple bone cyst of the mandible. A case report. Int J Oral Maxillofac Surg 1994;23:298-9. https://doi.org/10.1016/S0901-5027(05)80114-6
  16. Precious DS, McFadden LR. Treatment of traumatic bone cyst of mandible by injection of autogeneic blood. Oral Surg Oral Med Oral Pathol 1984;58:137-40. https://doi.org/10.1016/0030-4220(84)90126-9
  17. Schreuder HW, Conrad EU 3rd, Bruckner JD, Howlett AT, Sorensen LS. Treatment of simple bone cysts in children with curettage and cryosurgery. J Pediatr Orthop 1997;17:814-20.
  18. 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;65:918-23. https://doi.org/10.1016/j.joms.2006.06.297

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