目的:动脉瘤性骨囊肿(ABCs)是骨内良性但侵袭性的血管病变。轨道ABC,虽然罕见,由于视力丧失等衰弱症状的风险,具有临床意义。
方法:我们的系统评价是根据系统评价和荟萃分析(PRISMA)指南使用PubMed,谷歌学者,Embase,和SCOPUS数据库,以识别和评估探索轨道ABC病例的主要文章。此外,我们提出了一个说明性的病例报告.
结果:在51项研究的54例中,平均年龄为16.87岁,有23名男性,29名女性,2个未指明。最常见的症状是眼球突出(N=36)和复视(N=21)。关于横向,右轨道最常受到影响(N=27),其次是左轨道(N=21),有四起双边参与的案件。在轨道内,内侧壁最常撞击的位置(N=14),其次是轨道屋顶(N=13),后壁(N=7),侧壁(N=3),和轨道地板(N=2),15起案件涉及多个地点。手术切除是主要的治疗方法,导致44起案件的彻底解决。在我们的案例中,一名30岁的男性患有眼眶动脉瘤样骨囊肿,通过双额开颅联合眼眶上切开术进行病灶切除和眶顶重建手术治疗.
结论:眼眶中的动脉瘤性骨囊肿可能具有挑战性,并且完全切除病变对于实现最佳的患者预后至关重要。
OBJECTIVE: Aneurysmal bone cysts (ABCs) are benign but aggressive vascular lesions within bone. Orbital ABCs, though rare, are clinically significant due to the risk of debilitating symptoms such as vision loss.
METHODS: Our systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using PubMed, Google Scholar, Embase, and SCOPUS databases to identify and assess primary articles exploring orbital ABC cases. Additionally, we present an illustrative case report.
RESULTS: Among the 54 cases from the 51 studies included, the mean age was 16.87 years, with 23 males, 29 females, and 2 unspecified. The most prevalent symptoms were exophthalmos (N = 36) and diplopia (N = 21). Regarding laterality, the right orbit was most commonly affected (N = 27), followed by the left orbit (N = 21), with four cases of bilateral involvement. Within the orbit, the medial wall most frequently impacted location (N = 14), followed by the orbital roof (N = 13), posterior wall (N = 7), lateral wall (N = 3), and orbital floor (N = 2), with 15 cases involving multiple locations. Surgical resection was the primary treatment, resulting in complete resolution in 44 cases. In our case, a 30-year-old male with an orbital aneurysmal bone cyst was managed surgically through bifrontal craniotomy with superior orbitotomy for lesion excision and orbital roof reconstruction.
CONCLUSIONS: Aneurysmal bone cysts in the orbit can be challenging, and complete removal of the lesion is essential for achieving optimal patient outcomes.