Talacko A A, Radden B G
Department of Oral Medicine and Surgery, University of Melbourne, Faculty of Dental Science, Victoria, Australia.
Int J Oral Maxillofac Surg. 1988 Dec;17(6):343-6. doi: 10.1016/s0901-5027(88)80059-6.
Clinical and histopathological features of 62 cases of oral pulse granuloma were reviewed and compared to the cases previously described in the literature. Oral pulse granuloma is a histopathological diagnosis for a localized lesion resulting from the implantation of food particles of plant origin. It often occurs in the posterior regions of an edentulous mandible in association with a full lower denture but it may also be found in periapical areas of grossly decayed teeth or retained roots and teeth with a history of endodontic therapy, where the root canal has been left open at some stage, associated with impacted lower third molar teeth with a history of pericoronitis, in post-extraction tissue reactions or as part of a cyst wall where there has been a communication with the oral cavity. The essential histopathological features consist of a connective tissue stroma containing variable numbers of inflammatory cells and foreign-body giant cells associated with hyaline rings and ovoid fibrillary or amorphous hyaline masses. Treatment is by local curettage or excision.
回顾了62例口腔脉冲性肉芽肿的临床和组织病理学特征，并与文献中先前描述的病例进行了比较。口腔脉冲性肉芽肿是一种组织病理学诊断，用于描述由植物源性食物颗粒植入引起的局限性病变。它常发生在下颌无牙区的后部，与全口下义齿有关，但也可能出现在严重龋坏牙齿的根尖区、保留牙根以及有牙髓治疗史且根管在某个阶段开放的牙齿中，与有冠周炎病史的下颌阻生第三磨牙有关，在拔牙后组织反应中出现，或作为与口腔相通的囊肿壁的一部分。其基本组织病理学特征包括结缔组织基质，其中含有数量不等的炎症细胞和异物巨细胞，伴有透明环以及卵圆形纤维状或无定形透明团块。治疗方法为局部刮除或切除。
