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Clinical Problem Solving: Radiology
July 2012

Radiology Quiz Case 2: Diagnosis

Arch Otolaryngol Head Neck Surg. 2012;138(7):686. doi:10.1001/archotol.138.7.686

Diagnosis: Solitary bone cyst

Solitary bone cyst is a nonodontogenic cavitary lesion of the bone that has been referred to in the literature by a multitude of names, including traumatic bone cyst, hemorrhagic cyst, extravasation cyst, unicameral bone cyst, simple bone cyst, and idiopathic bone cavity. These lesions, which represent approximately 1% of all jaw cysts, are found most commonly within the mandible, less commonly within the maxilla, and rarely in the zygoma.1,2 Usually presenting as an incidental finding on radiography, solitary bone cysts, in theory, are thought to arise as a result of traumatic injury.

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