Department of Oral Medicine and Radiology, Government Dental College, Trivandrum, India.
Dentomaxillofac Radiol. 2011 Jul;40(5):282-9. doi: 10.1259/dmfr/32556437.
The aim of this study was to examine the clinical and radiographic presentation of fibrous dysplasia through a 13-year retrospective study in patients who reported to the outpatient unit of Government Dental College, Trivandrum.
The clinical file records and radiographs of the patients who reported to the outpatient clinic in the Department of Oral Medicine and Radiology were retrospectively reviewed for histopathologically diagnosed fibrous dysplasia. A detailed analysis of the clinical and radiographic features of the 24 cases retrieved was carried out.
The male-to-female ratio of incidence was approximately 1:1. Most of the patients were in the second or third decade of life. Almost all the patients presented with a complaint of swelling on the side of the face. The mandible was more frequently involved than the maxilla. The most common radiographic pattern observed was the "ground-glass" appearance. Most of the patients exhibited expansion of the involved bone and loss of lamina dura of associated teeth.
The awareness of protean features of fibrous dysplasia evident through this study is essential in the accurate diagnosis and proper treatment planning of such lesions.
本研究通过对在特里凡得琅政府牙科学院门诊就诊的患者进行为期 13 年的回顾性研究,旨在探讨纤维结构不良的临床和影像学表现。
对口腔医学和放射学系门诊就诊的经组织病理学诊断为纤维结构不良的患者的临床档案记录和影像学资料进行回顾性分析。对 24 例患者的临床和影像学特征进行了详细分析。
发病率的男女比例约为 1:1。大多数患者处于第二或第三个十年。几乎所有患者都以面部肿胀为主要症状。下颌骨比上颌骨更常受累。最常见的影像学表现为“磨玻璃”样外观。大多数患者表现为受累骨的膨胀和相关牙齿的骨硬板丧失。
通过本研究认识到纤维结构不良的多种表现特征,对于此类病变的准确诊断和适当的治疗计划至关重要。