Rare mandibular condylar pathology and new surgical approach: intraoral approach for resection and reconstruction of aneurysmal bone cyst, a case report

Mojtaba Azadbakht; Amir Yari; Paniz Fasih; Mohammad Nomani; Amirali Asadi; Mojtaba Azadbakht; Amir Yari; Paniz Fasih; Mohammad Nomani; Amirali Asadi

doi:10.3934/medsci.2020007

AIMS Medical Science

2020, Volume 7, Issue 3: 79-89. doi: 10.3934/medsci.2020007

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Case report

Rare mandibular condylar pathology and new surgical approach: intraoral approach for resection and reconstruction of aneurysmal bone cyst, a case report

1.
Postgraduate Student of Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2.
Assistant Professor, Department of Prosthodontics, Kashan University of Medical Sciences, Kashan, Iran

Received: 13 April 2020 Accepted: 28 June 2020 Published: 06 July 2020

The case of a 27-year-old male with a destructive aneurysmal bone cyst of the right mandibular condyle, coronoid process and ascending ramus is presented. Surgery revealed an eggshell-thin, partly perforated cortices. Intraoral approach was used for a complete resection of mandibular condyle, coronoid process and affected ascending mandibular ramus. Curettage of the adjacent soft tissues performed; no extra oral incision was used. In this case following resection, the defect was primarily reconstructed with prefabricated reconstruction plate with condylar head to maintain functional mandibular ramus height, avoid malocclusion and asymmetry. Post-operative examination and radiographic images revealed good symmetry and perfect occlusion as well as almost normal mandibular function. Intraoral approach can be used to access to the mandibular condyle region and ascending ramus with no risk to facial nerve and skin scar so cosmetically more favorable.
- aneurysmal bone cyst,
- mandibular condyle,
- intraoral approach
Citation: Mojtaba Azadbakht, Amir Yari, Paniz Fasih, Mohammad Nomani, Amirali Asadi. Rare mandibular condylar pathology and new surgical approach: intraoral approach for resection and reconstruction of aneurysmal bone cyst, a case report[J]. AIMS Medical Science, 2020, 7(3): 79-89. doi: 10.3934/medsci.2020007

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Abstract

The case of a 27-year-old male with a destructive aneurysmal bone cyst of the right mandibular condyle, coronoid process and ascending ramus is presented. Surgery revealed an eggshell-thin, partly perforated cortices. Intraoral approach was used for a complete resection of mandibular condyle, coronoid process and affected ascending mandibular ramus. Curettage of the adjacent soft tissues performed; no extra oral incision was used. In this case following resection, the defect was primarily reconstructed with prefabricated reconstruction plate with condylar head to maintain functional mandibular ramus height, avoid malocclusion and asymmetry. Post-operative examination and radiographic images revealed good symmetry and perfect occlusion as well as almost normal mandibular function. Intraoral approach can be used to access to the mandibular condyle region and ascending ramus with no risk to facial nerve and skin scar so cosmetically more favorable.

Conflict of interest

The authors declare no conflict of interest.

References

[1]	Jaffe HL (1950) Aneurysmal bone cyst. Bull Hosp Joint Dis 11: 3-13.
[2]	Lichtenstein L (1950) Aneurysmal bone cyst. A pathological entity commonly mistaken for giant-cell tumor and occasionally for hemangioma and osteogenic sarcoma. Cancer 3: 279-289. doi: 10.1002/1097-0142(1950)3:2<279::AID-CNCR2820030209>3.0.CO;2-F
[3]	Cottalorda J, Kohler R, de Gauzy JS, et al. (2004) Epidemiology of aneurysmal bone cyst in children: A multicenter study and literature review. J Pediatr Orthop B 13: 389-394. doi: 10.1097/01202412-200411000-00008
[4]	Saccomanni B (2008) Aneurysmal bone cyst of spine: A review of literature. Arch Orthop Trauma Surg 128: 1145-1147. doi: 10.1007/s00402-007-0477-6
[5]	Sun ZJ, Zhao YF, Yang RL, et al. (2010) Aneurysmal bone cysts of the jaws: Analysis of 17 cases. J Oral Maxillofac Surg 68: 2122-2128. doi: 10.1016/j.joms.2009.07.111
[6]	Giddings NA, Kennedy TL, Knipe KL, et al. (1989) Aneurysmal bone cyst of the mandible. Arch Otolaryngology Head Neck Surg 115: 865-870. doi: 10.1001/archotol.1989.01860310103033
[7]	Perrotti V, Rubini C, Fioroni M, et al. (2004) Solid aneurysmal bone cyst of the mandible. Int J Pediatr Otorhinolaryngol 68: 1339-1344. doi: 10.1016/j.ijporl.2004.05.001
[8]	Sun ZJ, Sun HL, Yang RL, et al. (2009) Aneurysmal bone cysts of the jaws. Int J Surg Pathol 17: 311-322. doi: 10.1177/1066896909332115
[9]	Pelo S, Gasparini G, Boniello R, et al. (2009) Aneurysmal bone cyst located in the mandibular condyle. Head Face Med 5: 8. doi: 10.1186/1746-160X-5-8
[10]	Gadre KS, Zubairy RZ (2000) Aneurysmal bone cyst of the mandibular condyle: Report of a case. J Oral Maxillofac Surg 58: 439-443. doi: 10.1016/S0278-2391(00)90932-7
[11]	Rapidis AD, Vallianatou D, Apostolidis C, et al. (2004) Large lytic lesion of the ascending ramus, the condyle, and the infratemporal region. J Oral Maxillofac Surg 62: 996-1001. doi: 10.1016/j.joms.2004.04.009
[12]	Kumaran S, Thambiah LJ (2012) Analysis of two different surgical approaches for fractures of the mandibular condyle. Indian J Dent Res 23: 463-468. doi: 10.4103/0970-9290.104950
[13]	Cottalorda J, Bourelle S (2007) Modern concepts of primary aneurysmal bone cyst. Arch Orthop Trauma Surg 127: 105-114. doi: 10.1007/s00402-006-0223-5
[14]	Vergel De Dios AM, Bond JR, Shives TC, et al. (1992) Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer 69: 2921-2931. doi: 10.1002/1097-0142(19920615)69:12<2921::AID-CNCR2820691210>3.0.CO;2-E
[15]	Zadik Y, Aktaş A, Drucker S, et al. (2012) Aneurysmal bone cyst of mandibular condyle: A case report and review of the literature. J Craniomaxillofac Surg 40: 243-248. doi: 10.1016/j.jcms.2011.10.026
[16]	Struthers PJ, Shear M (1984) Aneurysmal bone cyst of the jaws: clinicopathological features. Int J Oral Surg 13: 85-91. doi: 10.1016/S0300-9785(84)80077-0
[17]	Schreuder HW, Veth RP, Pruszczynski M, et al. (1997) Aneurysmal bone cysts treated by curettage, cryotherapy and bone grafting. J Bone Joint Surg Br 79: 20-25. doi: 10.1302/0301-620X.79B1.0790020
[18]	Kalantar Motamedi MH (1998) Aneurysmal bone cysts of the jaws: clinicopathological features, radiographic evaluation and treatment analysis of 17 cases. J Craniomaxillofac Surg 26: 56-62. doi: 10.1016/S1010-5182(98)80036-X
[19]	Kumar VV, Malik NA, Kumar DB (2009) Treatment of large recurrent aneurysmal bone cysts of mandible: transosseous intralesional embolization as an adjunct to resection. Int J Oral Maxillofac Surg 38: 671-676. doi: 10.1016/j.ijom.2009.01.016
[20]	Jayavelu P, Riaz R, Tariq Salam AR, et al. (2016) Difficulties encountered in preauricular approach over retromandibular approach in condylar fracture. J Pharm Bioallied Sci 8: 175-178. doi: 10.4103/0975-7406.191953
[21]	Yamada H, Ishihama K, Yasuda K, et al. (2010) Precontoured mandibular plate with three-dimensional model significantly shortened the mandibular reconstruction time. Asian J Oral Maxillofac Surg 22: 198-201. doi: 10.1016/j.ajoms.2010.08.002
[22]	Park W, Nam W, Park HS, et al. (2008) Intraosseous lesion in mandibular condyle mimicking temporomandibular disorders: Report of 3 cases. J Orofac Pain 22: 65-70.
[23]	Ziang Z, Chi Y, Minjie C, et al. (2013) Complete resection and immediate reconstruction with costochondral graft for recurrent aneurysmal bone cyst of the mandibular condyle. J Craniofac Surg 24: e567-570. doi: 10.1097/SCS.0b013e31829ad227
[24]	Kar IB, Mishra N, Ukey RB, et al. (2015) Unusual mandibular condylar pathology: Aneurysmal bone cyst, a case report and review on reconstruction. Natl J Maxillofac Surg 6: 123-126. doi: 10.4103/0975-5950.168221

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