Lasisi Taye J, Adisa Akinyele O, Olusanya Adeola A
Lecturer/Consultant. Department of Oral Pathology, University of Ibadan/University College Hospital. Ibadan, Nigeria.
Lecturer/Consultant. Department of Oral and maxillofacial surgery, University of Ibadan/University College Hospital. Ibadan, Nigeria.
J Clin Exp Dent. 2013 Feb 1;5(1):e42-7. doi: 10.4317/jced.51011.
The mandible and maxilla can be the site of myriads of lesions that may be categorized as neoplastic, cystic, reactive and infective or inflammatory. Literature reviewing jaw swellings in an amalgamated fashion are uncommon, probably because aetiologies for these swellings are varied. However, to appreciate their relative relationship, it is essential to evaluate the clinico-pathologic profile of jaw swellings. The aim of this appraisal is to describe the array of jaw swellings seen at our hospital from 1990 to 2011, to serve as a reference database.
Biopsy records of all histologically diagnosed cases of jaw swellings seen at the department of Oral Pathology, University College Hospital between January 1990 and December 2011 were retrieved, coded and inputted into SPSS version 20. Data on prevalence, age, sex, site and histological diagnosis were analysed descriptively for each category of jaw swellings. All patients below 16 years were regarded as children.
A total of 638 jaw swellings were recorded in the 22-year study period. The Non Odontogenic Tumours (NOT) were the commonest, accounting for 46.2% of all jaw swellings. Odontogenic Tumours (OT) formed 45% of all adult jaw swelling while it formed 25.2% in children and adolescents. Ameloblastoma was the commonest while the most common NOT was ossifying fibroma (OF). Chronic osteomyelitis of the jaws was about 6 times commoner in adult females than males and mostly involved the mandible. The most common malignant jaw swelling was Burkitts' lymphoma (BL) that was about 7 times more in children than adults. Osteogenic sarcoma was the most common malignancy in adults.
Jaw swellings are extensively varied in types and pattern of occurrence. This study has categorized jaw swellings in a simple but comprehensive fashion to allow for easy referencing in local and international data acquisition and epidemiological comparison. Key words:Jaw swellings, odontogenic, Nigeria.
下颌骨和上颌骨可能是无数病变的发生部位，这些病变可分为肿瘤性、囊性、反应性、感染性或炎症性。以综合方式回顾颌骨肿胀的文献并不常见，可能是因为这些肿胀的病因多种多样。然而，为了了解它们之间的相对关系，评估颌骨肿胀的临床病理特征至关重要。本评估的目的是描述1990年至2011年在我院所见的一系列颌骨肿胀情况，作为一个参考数据库。
检索了1990年1月至2011年12月期间在大学学院医院口腔病理科所有经组织学诊断的颌骨肿胀病例的活检记录，进行编码并输入到SPSS 20版本中。对每种类型的颌骨肿胀的患病率、年龄、性别、部位和组织学诊断数据进行描述性分析。所有16岁以下的患者被视为儿童。
在为期22年的研究期间，共记录了638例颌骨肿胀病例。非牙源性肿瘤（NOT）最为常见，占所有颌骨肿胀的46.2%。牙源性肿瘤（OT）占所有成人颌骨肿胀的45%，而在儿童和青少年中占25.2%。成釉细胞瘤最为常见，而最常见的非牙源性肿瘤是骨化性纤维瘤（OF）。颌骨慢性骨髓炎在成年女性中比男性常见约6倍，且大多累及下颌骨。最常见且恶性的颌骨肿胀是伯基特淋巴瘤（BL），在儿童中比成人多约7倍。骨肉瘤是成人中最常见的恶性肿瘤。
颌骨肿胀的类型和发生模式广泛多样。本研究以简单但全面的方式对颌骨肿胀进行了分类，以便在本地和国际数据收集及流行病学比较中便于参考。关键词：颌骨肿胀、牙源性、尼日利亚
