Unadkat Samit, Adams Ashok, Richards Polly, Bajaj Yogesh
Charing Cross Hospital, Imperial College Healthcare, London, UK.
The Royal London Hospital, Barts Health NHS Trust, London, UK.
J Surg Case Rep. 2018 Feb 2;2018(2):rjy008. doi: 10.1093/jscr/rjy008. eCollection 2018 Feb.
Aneurysmal bone cysts (ABCs) are expansile cystic lesions that can affect any bone of the body. Whilst these lesions are histologically benign, the lesions are locally aggressive and can affect the integrity of the affected bone as well as surrounding structures. ABCs arising in the head and neck region, particularly the paranasal sinuses are rare and they are limited to case reports in the literature. Due to the proximity of critical anatomical structures and the visual apparatus, the potential complications can be devastating. The present article discusses both the clinical and radiological findings of an ABC arising from the ethmoid sinuses in a 6-year-old child and the potentially challenging diagnosis with its complex ensuing surgical management. The identification of an ABC arising in the paranasal sinuses is both a diagnostic and surgical challenge and ideally requires complex management in a joint paediatric ENT and craniofacial unit.
动脉瘤样骨囊肿（ABCs）是一种可累及身体任何骨骼的膨胀性囊性病变。虽然这些病变在组织学上是良性的，但具有局部侵袭性，可影响受累骨骼以及周围结构的完整性。头颈部区域，尤其是鼻窦发生的ABCs较为罕见，文献中仅有病例报告。由于关键解剖结构和视觉器官位置相邻，潜在并发症可能是毁灭性的。本文讨论了一名6岁儿童筛窦ABCs的临床和影像学表现，以及其复杂的后续手术治疗中潜在的诊断挑战。鼻窦ABCs的识别既是诊断挑战也是手术挑战，理想情况下需要儿科耳鼻喉科和颅面联合科室进行复杂的管理。
