Minimally invasive sclerotherapy for mandibular aneurysmal bone cyst: A case report and literature review

A 14-year-old male football player presented for routine dental radiographs, during which an expansile cystic lesion was identified within the left mandible. CT and MRI scans performed thereafter demonstrated frank cortical breakthrough with findings overall most consistent with a diagnosis of aneurysmal bone cyst. Given the high-risk lesion and the patient’s significant physical activity, treatment was pursued. Instead of traditional surgical excision, a minimally invasive sclerotherapy approach was undertaken. Follow-up computed tomography performed approximately four months later demonstrated complete intralesional sclerosis consistent with complete response to therapy. No complications were encountered, and the patient remained symptom-free. The literature surrounding minimally invasive sclerotherapy for aneurysmal bone cysts and more specifically the scant number of studies evaluating this technique for mandibular lesions is reviewed in this case report.