Paediatric aneurysmal bone cysts of the head and neck

B G Fennessy1, S O Vargas, M V Silvera

  • 1Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA. brendanfennessy@yahoo.com

Insights

Aneurysmal bone cysts (ABCs) are benign, locally destructive lesions. This review covers their diagnosis, pathology, radiology, and management, with a focus on head and neck presentations.

Area of Science:

  • Pathology
  • Oral and Maxillofacial Surgery
  • Otolaryngology

Background:

  • Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions characterized by blood-filled cystic spaces.
  • While uncommon, ABCs can occur in the head and neck region, presenting diagnostic and management challenges.

Purpose of the Study:

  • To present an updated review of the literature concerning aneurysmal bone cysts.
  • To detail the diagnosis, pathology, pathophysiology, radiology, and management of ABCs.
  • To highlight the relevance of ABCs to otolaryngology, particularly in the mandible.

Main Methods:

  • A retrospective review of six cases of aneurysmal bone cysts.
  • Cases were collected over a 15-year period.
  • The review encompasses diagnosis, pathology, radiology, and management strategies.

Main Results:

  • Six patients, aged 8 months to 17 years (mean 9.6 years), were identified.
  • Lesions occurred in the mandible (n=3), maxilla (n=2), and occipital soft tissue (n=1).
  • All patients underwent primary excision; one experienced a recurrence.

Conclusions:

  • Aneurysmal bone cysts are benign yet locally destructive lesions.
  • Their potential involvement of the head and neck, especially the mandible, makes them relevant to otolaryngologists.
  • Effective management typically involves surgical excision, with recurrence being a possibility.
Abstract

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