Recurrent aneurysmal bone cyst of the mandibular condyle with soft tissue extension

Abstract The case of a 17- year-old female patient with a destructive aneurysmal bone cyst of the right mandibular condyle is presented. Surgery revealed an eggshell thin, partly perforated remaining condylar cortex with extension of the lesion into the surrounding soft tissues. Condylar resection w...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2009-06, Vol.38 (6), p.699-703
Main Authors: Ettl, T, Ständer, K, Schwarz, S, Reichert, T.E, Driemel, O
Format: Article
Language:English
Subjects:
Administration, Inhalation
Adolescent
aneurysmal bone cyst
Biological and medical sciences
Bone Cysts, Aneurysmal - pathology
Bone Cysts, Aneurysmal - surgery
Bone Plates
Bone Substitutes
calcitonin
Calcitonin - administration & dosage
condylar head add-on
condyle
Dentistry
Diseases of the osteoarticular system
Female
Gingival Diseases - pathology
Gingival Diseases - surgery
Humans
Mandibular Condyle - pathology
Mandibular Condyle - surgery
Mandibular Diseases - pathology
Mandibular Diseases - surgery
Medical sciences
Oral Surgical Procedures - methods
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures
recurrence
Secondary Prevention
Surgery
Temporomandibular Joint - surgery
Tumors of striated muscle and skeleton
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Description
Summary:Abstract The case of a 17- year-old female patient with a destructive aneurysmal bone cyst of the right mandibular condyle is presented. Surgery revealed an eggshell thin, partly perforated remaining condylar cortex with extension of the lesion into the surrounding soft tissues. Condylar resection with curettage of the adjacent soft tissues and recurrence prophylaxis with intranasal calcitonin for 1 week could not prevent recurrence after 6 months. In a second operation the ascending mandibular ramus was partly resected and immediately reconstructed with a newly developed alloplastic condylar head add-on system. This time the lesion was intraoperatively completely surrounded by solid cortical bone.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2009.01.014