Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.
J Endod. 2009 Nov;35(11):1598-602. doi: 10.1016/j.joen.2009.08.008. Epub 2009 Sep 20.
This report of 2 cases describes the diagnostic procedures used to identify 2 Stafne's bone cavities (SBC) found in unusually anterior locations in the mandible, both mimicking periapical lesions of endodontic origin.
In the first patient, a 47-year-old man, an SBC was diagnosed in the area of teeth #27, 28, and 29. In the second patient, a 62-year-old man, the SBC was a fortuitous finding, because this patient was referred for dental implant therapy.
In both cases, the final diagnosis was achieved by using limited cone beam computed tomography (CBCT) and magnetic resonance imaging (MRI). In both patients, the lingual bone cavity was found to be occupied by accessory salivary gland tissue.
The combination of CBCT and MRI as noninvasive diagnostic techniques seems ideal to avoid surgical explorations, incisional biopsies, or enucleations of the lesion for diagnostic purposes.
本报告介绍了两例病例，描述了用于诊断下颌骨中两个异常靠前位置的 Stafne 氏骨腔（SBC）的诊断程序，这两个 SBC 均模仿了源于牙髓的根尖周病变。
在第一个患者（47 岁男性）中，在#27、28 和 29 牙齿区域诊断出 SBC。在第二个患者（62 岁男性）中，SBC 是偶然发现的，因为该患者因牙科种植治疗而转诊。
在两种情况下，最终诊断均通过使用有限的锥形束 CT（CBCT）和磁共振成像（MRI）获得。在两名患者中，均发现舌侧骨腔被副唾液腺组织占据。
将 CBCT 和 MRI 相结合作为非侵入性诊断技术，似乎是避免手术探查、切开活检或为诊断目的而进行病变切除的理想选择。
