Surgical management of idiopathic bone cavity: case series of consecutive 27 patients
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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.
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.
참고문헌 (18)
- Gowgiel JM, "Simple bone cyst of the mandible", Oral Surg Oral Med Oral Pathol, 47, pp.319~322 (1979)
- Kuhmichel A, "Multifocal traumatic bone cysts: case report and current thoughts on etiology", J Oral Maxillofac Surg, 68, pp.208~212 (2010)
- Rushton MA, "Solitary bone cysts in the mandible", Br Dent J, 81, pp.37~49 (1946)
- Resnick CM, "A management strategy for idiopathic bone cavities of the jaws", J Oral Maxillofac Surg, 74, pp.1153~1158 (2016)
- 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, 16, pp.647~661 (1929)
- Coindre JM, "New WHO classification of tumours of soft tissue and bone", Ann Pathol, 32(5 Suppl), pp.S115~S116 (2012)
- Harnet JC, "Solitary bone cyst of the jaws: a review of the etiopathogenic hypotheses", J Oral Maxillofac Surg, 66, pp.2345~2348 (2008)
- Velez I, "Idiopathic bone cavity mimics odontogenic lesion", Todays FDA, 18, pp.21~23 (2006)
- Damante JH, "Spontaneous resolution of simple bone cysts", Dentomaxillofac Radiol, 31, pp.182~186 (2002)
- Sapp JP, "Self-healing traumatic bone cysts", Oral Surg Oral Med Oral Pathol, 69, pp.597~602 (1990)
- Szerlip L, "Traumatic bone cysts. Resolution without surgery", Oral Surg Oral Med Oral Pathol, 21, pp.201~204 (1966)
- Chapman PJ, "Traumatic bone cyst of the mandible;regression following aspiration", Int J Oral Surg, 14, pp.290~294 (1985)
- Howe GL, "'Haemorrhagic cysts' of the mandible. I", Br J Oral Surg, 3, pp.55~76 (1965)
- Copete MA, "Solitary bone cyst of the jaws: radiographic review of 44 cases", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85, pp.221~225 (1998)
- Shigematsu H, "Atypical simple bone cyst of the mandible. A case report", Int J Oral Maxillofac Surg, 23, pp.298~299 (1994)
- Precious DS, "Treatment of traumatic bone cyst of mandible by injection of autogeneic blood", Oral Surg Oral Med Oral Pathol, 58, pp.137~140 (1984)
- Schreuder HW, "Treatment of simple bone cysts in children with curettage and cryosurgery", J Pediatr Orthop, 17, pp.814~820 (1997)
- Suei Y, "Simple bone cyst of the jaws:evaluation of treatment outcome by review of 132 cases", J Oral Maxillofac Surg, 65, pp.918~923 (2007)