Treatment of large recurrent aneurysmal bone cysts of mandible: transosseous intralesional embolization as an adjunct to resection

• Published in: International journal of oral and maxillofacial surgery Vol. 38; no. 6; pp. 671 - 676
• Main Authors: Kumar, V.V, Malik, N.A, Kumar, D.B
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01.06.2009; Elsevier
• Subjects: Adult; aneurysmal bone cyst; Angiography; Biological and medical sciences; Blood Loss, Surgical - prevention & control; Bone Cysts, Aneurysmal - diagnostic imaging; Bone Cysts, Aneurysmal - surgery; Cardiovascular system; Chemoembolization, Therapeutic - methods; Child; Dentistry; Diseases of the osteoarticular system; embolization; en block resection; Female; Humans; Investigative techniques, diagnostic techniques (general aspects); Male; Mandibular Diseases - diagnostic imaging; Mandibular Diseases - surgery; Medical sciences; Oral Surgical Procedures; Otorhinolaryngology. Stomatology; Preoperative Care - methods; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Reconstructive Surgical Procedures; Recurrence; selective arteriography; Surgery; Surgical Flaps; Tumors of striated muscle and skeleton; Young Adult; aneurysmal bone cyst; embolization; selective arteriography; en block resection; Mandible; Relapse; Radiodiagnosis; Stomatology; Aneurysmal bone cyst; Diseases of the osteoarticular system; Instrumentation therapy; Surgical resection; Surgery; Block; Embolization; Arteriography
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1016/j.ijom.2009.01.016

Abstract The aneurysmal bone cyst is an uncommon, but well described, bone lesion occurring most commonly in long bones, the pelvis and vertebrae. It is relatively rare in the maxillofacial region. Various treatment options have been proposed. The authors present three cases of recurrent, large aneurysmal bone cysts of the mandible successfully treated by en block resection and reconstruction using free fibula flap following diagnostic arteriography and preoperative transcutaneous intralesional embolization. Preoperative embolization produced a relatively blood-less field from which the tumour could be completely excised.