Huang Gwendolyn, Moore Lynette, Logan Richard M, Gue Sumant
Department of Paediatric Dentistry, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Department of Surgical Pathology, Women's and Children's Hospital, Adelaide, South Australia, Australia.
J Investig Clin Dent. 2019 Aug;10(3):e12410. doi: 10.1111/jicd.12410. Epub 2019 Mar 27.
The epidemiological features and distribution of pediatric oral and maxillofacial pathology in South Australia, Australia, is unknown. The medical and dental specialties involved in the management of oral and maxillofacial pathology is also unknown. The aim of the present study was to audit oral and maxillofacial pathology specimens submitted for diagnosis in a pediatric tertiary-referral hospital setting.
Histopathology records were retrieved from the Women's and Children's Hospital, Adelaide over a 16-year period. Age, sex, histopathological diagnosis, location of the lesion, and department involved were recorded. Lesions were classified into 12 categories.
A total of 676 lesions involving the oral and maxillofacial region were collected from patients aged 0-18 years. The mean age was 8.71 years. Diagnosis was not significantly associated with sex (P = 0.123). A total of 97.37% of cases were benign, with connective tissue and salivary gland lesions most frequently biopsied and more frequently biopsied by medical departments. Mucoceles (19.23%) were most commonly diagnosed, followed by dentigerous cysts (5.62%). The Department of Paediatric Dentistry submitted most specimens, followed by the Department of Otolaryngology, the Australian Craniofacial Unit, and the Departments of Paediatric Surgery and Plastics.
The present study provides valuable understanding into the epidemiological features of, and the specialties involved in, oral and maxillofacial histopathology in an Australian pediatric population.
澳大利亚南澳州儿童口腔颌面病理学的流行病学特征及分布情况尚不清楚。参与口腔颌面病理学管理的医学和牙科专业领域也不明确。本研究的目的是对一家儿科三级转诊医院提交用于诊断的口腔颌面病理学标本进行审核。
从阿德莱德妇女儿童医院检索了16年间的组织病理学记录。记录年龄、性别、组织病理学诊断、病变部位以及涉及的科室。病变分为12类。
共收集了676例0至18岁患者涉及口腔颌面区域的病变。平均年龄为8.71岁。诊断与性别无显著相关性（P = 0.123）。97.37%的病例为良性，结缔组织和唾液腺病变活检最为频繁，且医学科室的活检更为频繁。黏液囊肿（19.23%）诊断最为常见，其次是含牙囊肿（5.62%）。儿童牙科提交的标本最多，其次是耳鼻喉科、澳大利亚颅面科以及小儿外科和整形科。
本研究为澳大利亚儿科人群口腔颌面组织病理学的流行病学特征及涉及的专业领域提供了有价值的认识。
