Turkoglu Kıvanc, Orhan Kaan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara University, Ankara, Turkey.
J Craniofac Surg. 2010 Nov;21(6):1769-75. doi: 10.1097/SCS.0b013e3181f40347.
Lingual mandibular bone defect, also known as Stafne bone cavity, is mostly seen in the posterior portion of the mandible. Inclusions in the anterior portion are very unusual, with around 50 cases reported in the English-language literature. They are often asymptomatic conditions diagnosed during a routine radiographic examination. This article describes a case of anterior Stafne bone cavity in a 52-year-old man mistaken for periapical pathologic defect and referred for treatment. In addition to clinical examination, the patient was imaged using conventional periapical, panoramic radiography, and computed tomography. Confirmation of the salivary gland tissue in the lingual mandibular defect was made with the histopathologic examination after surgical intervention. The differential diagnoses, treatment choices, and pathogenesis of these bone cavities are also discussed after the case presentation along with the literature review.
舌侧下颌骨缺损,也称为斯台夫内骨腔,多见于下颌骨后部。前部出现这种情况非常罕见,英文文献中报道的病例约有50例。它们通常是在常规影像学检查中被诊断出的无症状病症。本文描述了一例52岁男性的前部斯台夫内骨腔病例,该病例最初被误诊为根尖周病理缺损并转诊接受治疗。除了临床检查外,还对患者进行了传统根尖片、全景X线摄影和计算机断层扫描成像。手术干预后通过组织病理学检查确诊舌侧下颌骨缺损处存在唾液腺组织。病例介绍后还结合文献复习讨论了这些骨腔的鉴别诊断、治疗选择和发病机制。