Temporal aneurysmal bone cyst: cost-effective method to achieve gross total resection

Area of Science:

• Neurosurgery
• Oncology
• Vascular Surgery

Background:

• Aneurysmal bone cysts (ABCs) are benign, expansile, vascular bone lesions.
• Surgical resection is the standard treatment for ABCs.
• Skull base ABCs present unique surgical challenges due to high vascularity and proximity to critical neurovascular structures.

Observation:

• A young male presented with a temporal bone aneurysmal bone cyst.
• Gross total resection of the lesion was performed.
• The external carotid artery (ECA) was temporarily clamped to manage vascular supply.

Findings:

• The surgical technique involved temporary ECA clamping as an alternative to endovascular embolization.
• No intraoperative complications occurred during the procedure.
• The patient experienced a favorable postoperative clinical recovery.

Implications:

• Temporary ECA clamping is a simple, cost-effective method for controlling bleeding in highly vascular lesions like ABCs.
• This technique is particularly valuable in resource-limited settings.
• It provides a viable surgical alternative for managing complex skull base lesions.