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Aneurysmal bone cyst of the sphenoid bone
Harun Cansiz1, Ender Inci, Ferhat Erisir
1Department of Otorhinolaryngology and Head and Neck Surgery, Istanbul University, Cerrahpasa Medical Faculty, Turkey. hcansiz@turk.net
The Journal of Craniofacial Surgery
|June 1, 2002
Summary
Aneurysmal bone cyst (ABC) is a rare benign tumor. This study details an unusual sphenoid bone ABC case successfully treated with surgery, showing no recurrence.
Area of Science:
- Neurosurgery
- Oncology
- Ophthalmology
Background:
- Aneurysmal bone cysts (ABC) are rare, benign bone lesions, accounting for approximately 1.4% of all bone tumors.
- Craniofacial presentations of ABC are exceptionally uncommon, with only 3% of bone tumors occurring in the cranium.
- This study focuses on a unique case of ABC in the sphenoid bone.
Observation:
- The patient presented with headache, diplopia, reduced visual acuity, and restricted eye movement (abduction).
- The aneurysmal bone cyst extended into the superior nasal cavity and ethmoid sinuses.
- Diagnostic imaging confirmed the lesion's location and extent.
Findings:
- A successful surgical resection of the sphenoid bone ABC was achieved.
- The surgical approach utilized was a combined subcranial-midfacial degloving technique.
- No complications or recurrence of the aneurysmal bone cyst were observed post-surgery.
Implications:
- This case highlights the importance of considering rare diagnoses like aneurysmal bone cysts in the craniofacial region.
- The successful surgical management demonstrates the efficacy of the combined subcranial-midfacial degloving approach for such lesions.
- Further research into the optimal management of craniofacial ABCs may be warranted.