MacDonald-Jankowski D S
Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
Clin Radiol. 2004 Jan;59(1):11-25. doi: 10.1016/j.crad.2003.07.003.
Maxillofacial fibro-osseous lesions (FOL) consists of lesions that differ, with the exception of fibrous dysplasia, to those found in the rest of the skeleton. FOLs of the face and jaws are cemento-osseous [corrected] dysplasia, fibrous dysplasia and cemento-ossifying fibroma. Radiology is central to their diagnosis because the pathology for all FOLs is similar, although they range widely in behaviour, from dysplasia, hamartoma to benign neoplasia with occasional recurrence. Furthermore, once diagnosed the management of each is different. For cemento-ossifying dysplasia, this may mean doing nothing, simply because no treatment is generally appropriate. Almost all cemento-osseous [corrected] fibromas should be treated surgically, whereas cases of fibrous dysplasia are treated according to their clinical presentation, ranging from review and follow-up to surgery necessary to save the patient's sight or reduce deformity. The most important and frequent features of the FOLs differential diagnosis is discussed with assistance of a flow-chart.
颌面部纤维-骨病变（FOL）由一些病变组成，除骨纤维异常增殖症外，这些病变与在骨骼其他部位发现的病变不同。面部和颌骨的FOL包括牙骨质-骨发育异常、骨纤维异常增殖症和牙骨质化纤维瘤。放射学对其诊断至关重要，因为所有FOL的病理学表现相似，尽管它们的行为差异很大，从发育异常、错构瘤到偶有复发的良性肿瘤。此外，一旦确诊，每种病变的治疗方法都不同。对于牙骨质化发育异常，这可能意味着无需处理，仅仅因为一般没有合适的治疗方法。几乎所有牙骨质化纤维瘤都应接受手术治疗，而骨纤维异常增殖症病例则根据其临床表现进行治疗，范围从复查和随访到为挽救患者视力或减少畸形而进行的手术。在流程图的辅助下讨论了FOL鉴别诊断的最重要和最常见特征。
