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Paediatric aneurysmal bone cyst: not as easy as ABC
Samit Unadkat1, Ashok Adams2, Polly Richards2
1Charing Cross Hospital, Imperial College Healthcare, London, UK.
Journal of Surgical Case Reports
|February 10, 2018
Summary
Aneurysmal bone cysts (ABCs) are benign but locally aggressive bone lesions. This case highlights the rare occurrence and complex management of an ethmoid sinus ABC in a child.
Area of Science:
- Oncology
- Otolaryngology
- Pediatric Surgery
Background:
- Aneurysmal bone cysts (ABCs) are expansile, locally aggressive cystic bone lesions.
- While histologically benign, ABCs can compromise bone integrity and affect adjacent structures.
Observation:
- ABCs in the head and neck, especially paranasal sinuses, are rare, with limited case reports.
- This article details a case of an ethmoid sinus ABC in a 6-year-old child.
Findings:
- The ethmoid sinus ABC presented diagnostic and surgical challenges due to its location.
- Clinical and radiological findings are discussed in relation to the patient's presentation.
Implications:
- Paranasal sinus ABCs pose significant risks due to proximity to critical anatomical structures, including the visual apparatus.
- Optimal management necessitates a multidisciplinary approach, ideally within a joint pediatric ENT and craniofacial unit.
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