Firat D, Sirin Y, Bilgic B, Ozyuvaci H
Istanbul Universitesi, Dishekimligi Fakultesi, Ağiz-Diş, Cene Hast., Ve Cerrahisi Anabilim Dali, Capa, Istanbul, Turkey.
Dentomaxillofac Radiol. 2005 Sep;34(5):322-5. doi: 10.1259/dmfr/15263929.
The aim of this report is to describe a case presenting with complaints of orbital pain, altered facial sensation, nasal obstruction and unilateral spontaneous nose bleeding. Panoramic radiography and computerized tomography disclosed a large pedunculated heterogeneous mineral opacity with two impacted molar teeth invading the maxillary sinus. The patient was operated on under general anaesthesia. Microscopic examination of the surgical specimen revealed relatively dense, compact bone with sparse marrow tissue that was diagnosed as osteoma. Clinical characteristics and biological behaviour of this lesion were evaluated with special regard to the reliability of imaging modalities and surgical procedures.
本报告旨在描述一例出现眼眶疼痛、面部感觉改变、鼻塞和单侧自发性鼻出血症状的病例。全景X线摄影和计算机断层扫描显示一个带蒂的巨大异质性矿物质密度影,两颗阻生磨牙侵入上颌窦。患者在全身麻醉下接受手术。手术标本的显微镜检查显示骨质相对致密、紧实,骨髓组织稀少,诊断为骨瘤。特别针对成像方式和手术程序的可靠性评估了该病变的临床特征和生物学行为。