Edema of the bone marrow at the base of the ulnar styloid appreciated on co. The world health organization who recommends use of term solitary bone cyst, although traumatic one cyst is most widely used term. Although the cause of this lesion is unclear, it is commonly thought to occur after a traumatic injury in which faulty resolution or lysis of the intramedullary hemorrhage results in the formation of an empty bone cavity. Traumatic bone cyst an overview sciencedirect topics. They may resorb adjacent teeth or push the teeth out of their normal alignment. Definition a traumatic bone cyst is an empty intrabony cavity that lacks an epithelial lining. A bone cyst is a fluidfilled hole in a bone that usually occurs in children and young adults.
A retrospective study of 21 cases article pdf available in medicina oral, patologia oral y cirugia bucal 145. There is no known cause though it is sometimes related to trauma. To describe the clinical, surgical and radiographic findings of traumatic bone cysts. A mong the pseudocysts of the jaws, the traumatic bone cyst is known as an asymptomatic lesion often noted unintentionally during routine radiographic examinations. Traumatic bone cysts have been reported in the literature under a variety of names. Traumatic bone cyst is a pseudocyst presented as an asymptomatic unilocular single lesion with an empty cavity without epithelial lining. It is a benign empty or fluidcontaining cavity within the mandible body that does not have evidence of a true epithelial lining. Osteolytic lesions with septations and trabeculations. Traumatic bone cyst in the mandible regenerated with platelet. Quiste oseo traumatico y torticolis muscular congenito. Abstract the traumatic bone cyst is a lesion whose aetiology and pathogenesis have not been conclusively established. The lesion is believed to develop from abnormal healing of hemorrhage within bone. Traumatic bone cyst of the mandible of possible iatrogenic origin.
Traumatic bone cysts may be characterized by the presence of an asymptomatic cavity in bone with no epithelial lining. In such cases, it does not cause any deformity of the bone. The cause of traumatic bone cyst is unknown, although some believe that it develops in response to trauma. Traumatic bone cysts are usually asymptomatic and are incidental radiographic findings. We present a case of a 10yearold boy who presented to our pediatric emergency department with a painful swelling of his chin on multiple occasions before the diagnosis of a traumatic mandibular bone cyst with superinfection was made. Traumatic bone cyst tbc is an uncommon nonepithelial lined cavity of the jaws. Large cysts can weaken the bone and lead to fractures. Giant cell lesion and traumatic bone cyst jordi journal of oral. In spite of this, it still remains to be very frequent in the dental literature. Traumatic bone cysts may be classified as unicameral 3, simple 4, solitary 5, hemorrhagic 6, or. The traumatic bone cyst was first described by lucas in 1929 and later by rushton.
The cyst will be then closed, and healing of the blood clot will lead to bone formation. The majority of tbcs are located in the mandibular body between the canine and third molar region. Latent bone cyst lingual mandibular salivary gland depression defect stafne cyst b. Traumatic bone cyst usually affects the jaw bone or the mandible. There is a fluid containing structure just superior to the ulnar styloid having a narrow tail connected to the the ulnocarpal joint best appreciated on axial t2 sequence. Traumatic bone cysts may be classified as unicameral 3, simple 4, solitary 5, hemorrhagic 6, or idiopathic 7. Solitary bone cyst sbc of the maxillofacial region is an uncommon lesion. Traumatic bone cyst article about traumatic bone cyst by. The diagnostic criteria of the cyst was established in 1946, according to which traumatic bone cyst is a single lesion without an epithelial lining, surrounded. Traumatic bone cyst of the mandible in langergiedion. Synchronous lesions of the jaws are reported in the. A retrospective observational study was made of 21 traumatic bone cysts.
The traumatic bone cyst tbc may be defined as an intraosseous cystic cavity having a thin lining of connective tissue with no epithelium. The doctor scrapes the socket and bony walls and filing it with steroid for healing purpose. Nov 25, 2010 traumatic bone cyst was first described by lucas and blum in 1929 as separate disease entities, it is an uncommon lesion that may be incidentally diagnosed on routine dental treatment. Although trauma is suspected to be the cause, this has not been proved. A retrospective study was made of patients diagnosed with traumatic bone cysts at an oral pathology department from 1992 to 2007. The traumatic bone cyst, also referred to as a simple bone cyst or hemorrhagic cyst, is a pseudocyst that most commonly affects the mandible of young individuals. This lesion is particularly asymptomatic and therefore. On ct scans, bone cysts that have a radiodensity of 20 hounsfield units hu or less, and are osteolytic, tend to be aneurysmal bone cysts. Traumatic bone cyst, simple bone cyst, pseuodocyst introduction traumatic bone cyst tbc was first described in 1929 as a distinct entity of disease 1. Sep 18, 2019 a traumatic bone cyst is an uncommon nonneoplastic lesion of the jaws that is considered as a pseudocyst because of the lack of an epithelial lining. Differential diagnosis of lytic bone lesions with septations and trabeculations include 1. Simple bone cysts are usual, benign, fluidfilled, cystic lesions that often occur in the metaphysis of the long bones and are rarely detected in vertebrae.
It was first described lucas in the year 1929 since then it has evoked great deal of interest. Analysis of factors associated with orthodontic microscrew failure. A traumatic bone cyst is an uncommon nonneoplastic lesion of the jaws that is considered as a pseudocyst because of the lack of an epithelial lining. Traumatic bone cyst wikimili, the free encyclopedia. A unicameral bone cyst, also known as a simple bone cyst, is a benign noncancerous bone tumor that occurs primarily in children and adolescents.
Stafne bone cyst aka stafne bone defect aneurysmal bone cyst abc. Chronically inflamed submandibular lymph nodes are signs and symptoms of occlusal traumatism are 1. It is otherwise regarded as solitary bone cyst, hemorrhagic bone cyst, simple bone cyst, extravasation cyst or progressive bone cyst 2. The literature is replete with a multitude of names that refer to this lesion. Traumatic bone cyst simple bone cyst, hemo rrhagic cyst, intraosseous hematoma, idiopathic bone cyst, extravasation bone cyst, solitary bone cyst, solitary bone cavity aneurysmal bone cyst mucous retention cyst of maxillary sinus s. Learn about symptoms, treatment and when to seek medical advice here using content verified by certified doctors. This report outlines the clinical and radiographic findings associated with a case of a traumatic bone cyst. Traumatic bone cyst is a rare distinct entity which was first described by lucas and blum in 1926 and later in 1946 it was portrayed to be a single cyst without epithelium by rushton.
Traumatic bone cyst tbc was initially portrayed in 1929 by lucas and blum as a separate disease entity. The designation of pseudocyst relates to the cystic radiographic appearance and gross surgical presentation of this lesion it is seen mostly in the mandible. It is more commonly located in the mandibular body between canine and third molar. Traumatic bone cyst most have no trauma history young adults scallop between roots vital teeth contents at surgery empty, fibrous membrane straw colored fluid organize and ossify in 68 months. Nov 12, 2006 the traumatic bone cyst tbc is an uncommon nonepithelial lined cavity of the jaws.
Dentigerous cysts are the second most common type of odontogenic cyst, which is a fluidfilled sac that develops in the jaw bone and soft tissue. Traumatic bone cyst, also called a simple bone cyst, is a condition of the jaws. E23943 march 2009 with 1,061 reads how we measure reads. Traumatic bone cyst or solitary bone cyst is a nonepitheliallined cavity, mainly seen in young individuals in the second decade of life with no gender predilection. Traumatic bone cyst resembling apical periodontitis rosen. Traumatic bone cyst located in the region of the right lower second premolar. Traumatic bone cyst or solitary bone cyst bmj case reports. Blum reported the first three cases in dentistry in 1932 2. Although the cause of this lesion is unclear, it is commonly thought to occur after a traumatic injury in which faulty resolution or lysis of the. Introduction the traumaticbonecyst,alsocalledsimplebonecyst,hemorrhagic bone cyst, solitary bone cyst and idiopathic bone cavity111 has. Data on the clinical, radiographic and surgical complications were gathered. It is an asymptomatic lesion, which is often diagnosed accidentally during routine radiological examination commonly present in the posterior mandible as a unilocular radiolucency with scalloping borders. Nov 25, 2010 the traumatic bone cyst, an uncommon lesion of the jaws, belongs to the category of pseudocyst owing to its lack of a lining epithelial membrane.
Traumatic bone cyst was first described by lucas and blum in 1929 as separate disease entities, it is an uncommon lesion that may be incidentally diagnosed on routine dental treatment. Twentysix cases of traumatic bone cyst were diagnosed in 15 years. The traumatic etiology hypothesis of traumatic bone cyst. A nonossifying fibroma nof is a central portion of the bone that has failed to form into hard bone but instead is fibrous in nature. It is suggested that there are two principal clinical and radiological types of posttraumatic cyst, of which each of our. Adequate diagnosis and treatment are additionally compli cated by the broad palette of. A retrospective study was made of patients diagnosed with traumatic bone. Traumatic bone cyst in the mandible regenerated with. It is characterized by an empty cavity in the jaw bone. The traumatic bone cyst is rare, corresponding to 1 2% of maxillary cysts, and its diagnosis is usually based on a routine panoramic radiograph or orthodontic records. We describe two patients with cystlike lesions of bone that developed at sites of healed or healing fractures. There are several theories and names for this lesion and various forms of management have been reported in the literature. Jul 09, 2015 traumatic bone cyst may require surgical exploration. The majority of tbcs are located in the mandibular body between the canine and the third molar.
Pdf the traumatic bone cyst, an uncommon lesion of the jaws, belongs to the category of pseudocyst owing to its lack of a lining epithelial. A lesion with such a multitude representation lacks accurate understanding. Although the cause of this lesion is unclear, it is commonly thought to occur after a traumatic injury in which faulty resolution or lysis of the intramedullary hemorrhage results in the formation of an. A traumatic bone cyst is a pathological formation of complex aetiology. It is more likely to affect men and is more likely to occur in people in their first and second decades.
Clinically, the lesion is asymptomatic in the majority of cases and is often accidentally discovered on routine. Traumatic bone cyst of mandible europe pmc article. The lesion is mainly diagnosed in young patients most frequently during the second decade of life. It has been identified with many names such as solitary bone cyst, traumatic bone cyst, hemorrhagic bone cyst, unicameral bone cyst, progressive bone cavity, extravasation cyst, primary bone cyst and idiopathic bone cavity 3. Cysts can be congenital but are usually acquired, the most common. Traumatic bone cyst, aneurysmal bone cyst, and central giant cell. Bone cysts are fluidfilled areas inside growing bone that have not developed into osseous tissue or actual bone.
Radiology of cysts of the jaws columbia university. Traumatic bone cyst of the mandible in a 10yearold boy. Traumatic bone cysts have been reported in the literature under a variety of. The incidence of cyst affecting the jaws is 1% of all the cyst. A solitary bone cyst sbc is a nonneoplastic osseous lesion affecting. The traumatic bone cyst tbc is an uncommon nonepithelial lined cavity of the jaws.
Solitary bone cyst, haemorrhagic bone cyst, extravasation cyst, progressive bone cavity, simple bone cyst and unicameral bone cyst. Traumatic bone cysts are known by different names in the dental literature by time. Pdf to describe the clinical and radiological characteristics, and surgical findings of traumatic bone cysts. Here, the cyst is present within the growth plate of the bone. Sep 28, 2019 traumatic bone cyst, also called a simple bone cyst, is a condition of the jaws. Old fracture of the ulnar styloid with secondary degenerative changes, ganglion cyst and possible ligamentous injury to the triangular fibrocartilage, findings include. It has been identified with many names such as solitary bone cyst, traumatic bone cyst, hemorrhagic bone cyst, unicameral bone cyst, progressive bone cavity, extravasation. Traumatic bone cyst, or simple bone cyst, is a pseudocyst that represents a bony dead space. However, the diagnostic criteria of tbc were not established until 1946. Nov 12, 2006 traumatic bone cysts have been reported in the literature under a variety of names. Traumatic bone cyst tbc is a rare, asymptomatic, intraosseous lesion considered to be a pseudocyst of jaws and long bones1. One case showed histological features of a unicameral bone cyst, which, to the best of our knowledge, is a previously unreported finding in a posttraumatic cyst. Traumatic bone cyst resembling apical periodontitis.
A solitary bone cyst of the mandible also known as traumatic bone cyst of jaw, haemorrhagic cyst of the mandible, extravasation cyst, progressive bone cavity and unicameral bone cyst is an. Surgical approach to a traumatic bone cyst located in the region of the chin symphysis. The aneurysmal bone cyst abc is an expansible osteolytic pseudocystic lesion that most often affects persons during their second decade of life. Traumatic bone cyst definition of traumatic bone cyst by. The lesion neither devitalizes the teeth within its borders, nor does it cause resorption of their roots. Traumatic bone cyst of mandible europe pmc article europe pmc. They occupy space and may displace or replace normal tissues. These lesions are usually discovered in the 2nd decade of life, 2. Simple bone cyst in the body of the lumbar vertebra. Traumatic bone cyst of the mandible of possible iatrogenic.
Traumatic bone cyst located in the region of the chin symphysis. The multitude of the names applied to this lesion attests to the lack of understanding of the true aetiology and pathogenesis. The most common etiological factor is trauma 6 however the exact mode, frequency and intensity must be determined before arriving at a diagnosis. Their most common site of occurrence is the mandible, 1. These criteria are still valid and comprise a single lesion without an epithelial lining, surrounded by. Since it was first described by lucas in 1929, the lesion has attracted a great deal of interest in the dental literature, but its pathogenesis is still not clearly understood. Traumatic bone cysts were first defined by lucas and blum. The following presentation is of a traumatic bone cyst that resembled periodontal pathology in its appearance. The traumatic bone cyst tbc is an uncommon intraosseous nonneoplastic lesion of the jaws that almost affects patients in the second decade of life. Traumatic bone cyst and congenital muscular torticollis. Its etiology is still debated, it is more frequent among young people and it is often localized in posterior mandible zone. This lesion is particularly asymptomatic and therefore is diagnosed by routine dental radiographic examination as a unilocular radiolucency with scalloped borders, mainly in the posterior mandibular region. Pdf traumatic bone cystanterior mandibular region jani.
The preceding findings suggested the lesion to be traumatic bone cyst. The cysts are cavities within bone that are filled with fluid. Traumatic bone cyst of mandible pubmed central pmc. A traumatic bone cyst is an uncommon nonneoplastic lesion of the jaws that is considered as a pseudocyst because of the lack of an epithelial. Edema of the bone marrow at the base of the ulnar styloid appreciated on coronal pd fat sat with interruption and irregularity of the cortex best appreciated on coronal t2. Differential diagnosis of radiolucent lesions of the jaws. The traumatic bone cyst, also termed simple bone cyst, hemorrhagic bone cyst, and idiopathic bone cavity, is an intrabony cavity that spontaneously occurs in the mandible of young patients. It is an asymptomatic lesion, which is often diagnosed accidentally during routine radiological examination commonly present in the posterior mandible as. The lesion is mainly diagnosed in young patients most. The clinical and radiographic features of these mandibular lesions help establish a dif. Although rare, the presentation of mandibular cysts in children can be difficult for medical providers to recognize.
The traumatic bone cyst, an uncommon lesion of the jaws, belongs to the category of pseudocyst owing to its lack of a lining epithelial membrane. The diagnostic criteria of the cyst was established in 1946, according to which traumatic bone cyst is a single lesion without an epithelial lining, surrounded by bony walls and either lacking. Abstract the traumatic bone cyst tbc is an uncommon nonepithelial lined cavity of the jaws. To describe the clinical and radiological characteristics, and surgical findings of traumatic bone cysts.
We present an overview of tbc and report a case that further corroborates one of its proposed etiologic hypotheses. It appears on radiographs as a wellcircumscribed radiolucency dark area, and it commonly scallops between the roots of teeth. A case of a simple bone cyst in the body of the fifth lumbar vertebra in a 28yearold woman with complaint of intermittent low back. As the bone grows in the child, it can weaken and deform the bone. The designation of pseudocyst relates to the cystic radiographic appearance and gross surgical presentation of this lesion it is seen.
1375 1250 1492 1545 501 1419 46 33 1044 267 129 620 1179 1200 591 846 402 1021 1203 935 879 1565 1554 1576 1518 1081 264 996 336 1352 335 722 1037 57 1394 375 346