Quesada-Gómez Carmen, Valmaseda-Castellón Eduard, Berini-Aytés Leonardo, Gay-Escoda Cosme
Cirugía e Implantología Bucal, Facultad de Odontología de la Universidad de Barcelona.
Med Oral Patol Oral Cir Bucal. 2006 May 1;11(3):E277-80.
To describe the clinical and radiological characteristics of patients with Stafne bone cavity.
A retrospective, observational study of 11 cases of Stafne bone cavity. After finding an imagine compatible with Stafne bone cavity in the Orthopantomograph(r) of 11 patients, a sialography of the mandibular gland was made in 3 cases, computerized tomography (CT) in 6 cases, and in 4 cases surgical intervention to confirm the diagnosis.
The average age was 51.5 years, predominantly males. The entity was diagnosed incidentally during a routine radiology in all cases. The sialography revealed glandular tissue within the defect, and the CT demonstrated the conservation of the lingual cortical and the peripheral origin of the lesion. Glandular tissue was found within the lesions of two of the patients who underwent surgery, and in the other two the cavity was empty. No progressive changes were found in any of the 11 cases.
Stafne bone cavity was an incidental finding, presenting no evolutionary changes, and as such conservatory therapy based on periodic controls was indicated. Currently, complementary techniques such as CT are sufficient to establish a certain diagnosis.
描述斯滕内骨腔患者的临床和影像学特征。
对11例斯滕内骨腔病例进行回顾性观察研究。在11例患者的全景X线片中发现与斯滕内骨腔相符的影像后,3例行下颌下腺造影,6例行计算机断层扫描(CT),4例行手术干预以确诊。
平均年龄为51.5岁,以男性为主。所有病例均在常规放射检查时偶然诊断出该疾病。涎腺造影显示缺损内有腺组织,CT显示舌侧皮质完整且病变起源于外周。接受手术的4例患者中,2例病变内发现腺组织,另外2例腔隙为空。11例患者中均未发现病情进展。
斯滕内骨腔为偶然发现,无病情进展变化,因此建议采用基于定期检查的保守治疗。目前,CT等辅助技术足以明确诊断。