Ai Chong Jun, Jabar Nazimi Abd, Lan Tan Huann, Ramli Roszalina
Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, UKM and UKM Medical Centre, Kuala Lumpur, Malaysia.
J Clin Imaging Sci. 2017 Jul 13;7:28. doi: 10.4103/jcis.JCIS_28_17. eCollection 2017.
Enlargement of the mandibular canal is a rare radiological finding. Clinically, it may or may not be associated with sensory deficits. We report four cases of widening of the mandibular canal observed with various methods of imaging with different clinical characteristics. We describe this unique radiological finding and elaborate the importance of quality assessment of the imaging that is vital for accurate diagnosis and treatment planning. Clinicians should be mindful when assessing the imaging whenever the size of the mandibular canal is implicated. The case ranged from a benign tumor to malignancy, radiological errors, and artifacts. A more superior imaging or treatment modality was necessary to ascertain the diagnosis.
下颌管扩大是一种罕见的影像学表现。临床上,它可能与感觉障碍有关,也可能无关。我们报告了4例通过不同影像学方法观察到的下颌管增宽病例,这些病例具有不同的临床特征。我们描述了这一独特的影像学表现,并阐述了影像学质量评估对于准确诊断和治疗规划的重要性。临床医生在评估涉及下颌管大小的影像学检查时应予以注意。病例范围包括良性肿瘤、恶性肿瘤、放射学误差及伪影。需要更高级别的影像学检查或治疗方式来确定诊断。