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半侧颜面发育不全/节段性牙颌面发育不全的临床和影像学表现:病例的关键分析和报告。

Clinical and radiological presentation of hemimaxillofacial dysplasia/segmental odontomaxillary dysplasia: critical analysis and report of a case.

机构信息

Oral and Maxillofacial Radiology Unit, Department of Oral Medicine, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Feb;113(2):268-73. doi: 10.1016/j.tripleo.2011.03.051. Epub 2011 Jul 28.

Abstract

OBJECTIVES

The purpose of the present study was to critically evaluate the literature, describe the clinical and radiographic features of HD-SOD (hemimaxillofacial dysplasia/segmental odontomaxillary dysplasia), and describe one new case, involving a 12-year-old boy, with detailed radiological, clinical, and histologic characteristics.

METHODS

Thirty-six cases published between 1987 and 2010, together with the present case, were evaluated according to criteria that included gender, age, location of the lesion, findings, and symptoms.

RESULTS

We found that the lesion is discovered mainly in the first decade of life (71%), and has a male predilection (64%, 23/64). The maxillary alveolar process was affected unilaterally in all cases, with gingival and bone enlargement and facial asymmetry being constant findings. Missing premolars and skin manifestations were found to be common features.

CONCLUSIONS

New case reports should include clinical, radiographic, and histologic findings; follow-up reports; and treatment protocols to improve dentist and parent information regarding HD.

摘要

目的

本研究旨在对文献进行批判性评估,描述 HD-SOD(颌面/节段性牙骨质-牙髓发育不良)的临床和影像学特征,并描述一个新病例,包括一名 12 岁男孩,具有详细的影像学、临床和组织学特征。

方法

根据纳入标准,对 1987 年至 2010 年期间发表的 36 篇病例报告和本病例进行评估,纳入标准包括性别、年龄、病变部位、发现和症状。

结果

我们发现,病变主要发生在生命的第一个十年(71%),且具有男性偏好(64%,23/64)。所有病例均为单侧上颌牙槽突受累,牙龈和骨增大以及面部不对称是恒定的发现。缺失前磨牙和皮肤表现是常见的特征。

结论

新病例报告应包括临床、影像学和组织学发现、随访报告和治疗方案,以提高牙医和家长对 HD-SOD 的认识。

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