Aneurysmal Bone Cysts of the Paranasal Sinuses: The Mayo Clinic Experience and Review of the Literature.
Aneurysmal bone cyst
benign fibrosseous lesion
benign sinus lesion
endoscopic resection
orbital involvement
paranasal sinuses
proptosis
skull base mass
skull base surgery
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
11
02
2021
received:
20
11
2020
accepted:
15
02
2021
pubmed:
2
3
2021
medline:
21
9
2021
entrez:
1
3
2021
Statut:
ppublish
Résumé
Aneurysmal bone cysts (ABCs) are benign, lytic bone lesions, which rarely present in the paranasal sinuses. There is no published consensus on the appropriate diagnostic or treatment approach. Our objective was to elucidate the clinical behavior, treatment, and outcomes for patients with ABCs of the paranasal sinuses (psABCs). Retrospective case series and system review of the literature. A retrospective chart review was performed to identify patients evaluated at the authors' institution with psABC and consolidated with literature reports of psABC. Eighty-nine patients met inclusion criteria. The most common presenting symptom was painless facial swelling (n = 35, 39%). The ethmoid sinuses were the most common site involved (n = 55, 62%). Surgical approach was reported in 74 cases including 20 endoscopic and 54 with an open or combined approach. Fifty-nine patients (71%) underwent gross total resection. Follow up data was reported for 67 patients. Fifteen patients (22%) were found to have recurrence or progression at follow up; 10/15 (66%) patients within the first 12 months, 14/15 (93%) within the first 24 months, and 1/15 (7%) greater than 24 months after treatment. Patients were more likely to have recurrence/progression if they presented with nasal discharge (P = .05), proptosis (P = .01), or orbital involvement (P = .03). psABCs typically present with painless swelling or nasal obstruction. Orbital involvement is a negative prognostic indicator with these patients more likely to have recurrence after treatment. Recurrence or progression of disease is most likely to occur within 2 years after treatment. Therefore, patients should be monitored closely during this time. 4 Laryngoscope, 131:E2525-E2533, 2021.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
E2525-E2533Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc..
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