Division of Oral and Maxillofacial Radiology, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
British Columbia Cancer Agency, Vancouver, Canada.
Oral Radiol. 2020 Jan;36(1):1-17. doi: 10.1007/s11282-019-00367-4. Epub 2019 Feb 13.
The radiology of the most important and/or frequent lesions affecting the bones of the face and jaws has been set out in this review and pictorial essay.
The latter is composed of multiple images displaying one or more key radiological features derived from almost every one of the most important and/ or frequent lesion affecting the face and the jaws. These images have been grouped together in 18 figures, each served by a detailed and free-standing legend. These lesions are outlined in a flowchart, which focuses on one or at most two radiological features in turn.
It begins with those lesions that could indicate systemic disease, such as multiple lesions, and then proceeds onward to single lesions. The first of these single lesions are the neoplasms which need not only an early diagnosis, but also complete ablation in the majority of cases. Cystic lesions are then next, including consideration of the frequently occurring non-cysts such as simple bone cysts and lingual bone defects which require no treatment. Finally, it ends with the periapical radiolucency of inflammatory origin.
The most important and/or frequent lesions affecting the bones of the face and jaws that present to the oral and maxillofacial clinician can be considered systematically en route to the 'periapical radiolucency of inflammatory origin,' which is one of the most usually encountered lesions in clinical dentistry.
本文阐述了影响面颌骨的重要和/或常见病变的放射学表现。
本文由多幅图像组成，展示了源自面颌部几乎所有重要和/或常见病变的一个或多个关键放射学特征。这些图像被分为 18 个图，每个图都附有详细的独立图例。这些病变通过流程图进行概述，依次重点关注一个或最多两个放射学特征。
首先是可能提示全身性疾病的病变，如多发性病变，然后是单发性病变。这些单发性病变首先是肿瘤，大多数情况下不仅需要早期诊断，还需要完全切除。接下来是囊性病变，包括经常出现的非囊性病变的考虑，如单纯性骨囊肿和舌骨缺损，这些病变无需治疗。最后是炎性起源的根尖透光区。
口腔颌面临床医生可系统地考虑影响面颌骨的重要和/或常见病变，从这些病变出发，最终可到达临床牙科中最常遇到的病变之一——炎性起源的根尖透光区。
