Multifocal Traumatic Bone Cysts: Case Report and Current Thoughts on Etiology

Department of Oral and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.
Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons (Impact Factor: 1.28). 01/2010; 68(1):208-12. DOI: 10.1016/j.joms.2009.07.024
Source: PubMed
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    ABSTRACT: Objectives This study contributes three well-documented cases of multiple simple bone cysts (SBCs) of the jaws and reviews previously published cases. Study Design. A comprehensive literature search of multiple SBCs was conducted using PubMed database. Synonyms of SBC were used as search key words in combination with “mandible or jaw”, “bilateral, multiple, multifocal, atypical, and unusual”. Results A total of 34 cases of multiple SBCs (including 2 asynchronous cases) were identified, including the three new cases reported here. Multiple SBCs primarily occurred in the second decade (52.9 %) and bilaterally in the posterior mandible. Lesions showed female predominance (1.8:1) and were frequently accompanied by bony expansion (44.1 %) and a multilocular radiolucent appearance (20.6 %). Recurrence was reported in 3 patients (mean age: 39.3 years old). Conclusion Knowledge of the clinical and radiographic features of multiple SBCs is important in the diagnosis and management of this entity.
    Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 06/2014; 117(6). DOI:10.1016/j.oooo.2014.03.004 · 1.46 Impact Factor
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    ABSTRACT: Objectives The goal of this study was to reveal clinical and pathologic findings on idiopathic bone cavity lesions (IBC). Study Design. A retrospective analysis of 20 IBC cases from a university-based maxillofacial pathology service diagnosed from 2004 to 2014 was performed, and included all pertinent clinical, histological, and radiographic findings. Results 11 females (age = 36±12.7) and 9 males (age = 23±17.9) diagnosed with IBC were selected for analysis. Age ranges for both male and female were similar (23.2 to 36.3). There was a higher African-American female predilection (40%). 30% of the cases were associated with florid cemento-osseous dysplasia (COD) (all middle-age African-American females). The location of the lesions was mandibular in 85% of the patients. All symptomatic patients (25%) had concomitant COD. Only 1 patient reported previous trauma, and only 1 patient had prior orthodontic treatment. Follow-up period ranged from 1 to 8 years, with only 1 recurrence 3 years post-surgery. Conclusions The results suggest that IBC concurrent with COD may not be as rare as the literature implies. Clinicians must be attentive to this possible relationship to ensure accurate diagnosis and appropriate treatment.
    Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 10/2014; DOI:10.1016/j.oooo.2014.09.032 · 1.46 Impact Factor
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    ABSTRACT: Traumatic bone cyst is an uncommon non-epithelium lined cavity and is seen frequently in young individuals. The lesion occurs more commonly in the mandible, involving the posterior region. It is generally asymptomatic and is diagnosed on routine radiographic examination. The cystic cavity is usually empty and there is scanty material for histological examination. Surgical curettage is usually done and recurrence is rare. A case of traumatic bone cyst occurring in the anterior region of mandible in a young boy is presented. Following surgical intervention, plasma-rich-protein was placed in the cystic cavity. The lesion showed progressive resolution and bone regeneration of the cystic cavity within a short period of time.
    European journal of dentistry 07/2013; 7(3):377-81. DOI:10.4103/1305-7456.115427

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