Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio" Chieti - Pescara, Chieti, Italy.
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy.
Eur J Paediatr Dent. 2019 Sep;20(3):219-223. doi: 10.23804/ejpd.2019.20.03.10.
To evaluate the prevalence, the morphological characteristics and any related symptoms of Ponticulus Posticus (PP) in young Italian patients by means of cone-beam computed tomography.
A retrospective study was conducted on images derived from cone-beam CT scans of an Italian population in developmental age (mean age 12.61 ± 2.69); medical history was also evaluated from medical records. The total prevalence and morphology of PP, the prevalence by gender and according to age groups were calculated. For the statistical analysis the ?² test was used.
Total prevalence of PP was 28.24%, the prevalence by gender was 35.27% for males and 21.42% for females, with statistically significant differences. PP was bilateral in 74.33%, and monolateral in 25.67%. As regards symptoms, the cases with headache were 32.43%, tinnitus 6.08%, migraine 3.38%. Dividing by age, patients aged ? 11 years showed headache in 25% of cases, patients aged between 12 and 14 years in 54.17% of cases and patient aged between 15 and 17 years in 20.83%.
PP is not a rare anomaly in Italian young patients and should always be sought in the lateral cephalograms and CBCT, in patients whether or not symptomatic, irrespective of their age, for differential diagnosis and management of cranio-cervicofacial pain in developmental patients.
通过锥形束 CT 评估年轻意大利患者的后 Ponticulus（PP）的患病率、形态特征和任何相关症状。
对处于发育阶段的意大利人群的锥形束 CT 扫描图像进行回顾性研究（平均年龄 12.61 ± 2.69 岁）；还从病历中评估了病史。计算了 PP 的总患病率和形态，按性别和年龄组计算了患病率。采用卡方检验进行统计学分析。
PP 的总患病率为 28.24%，男性患病率为 35.27%，女性患病率为 21.42%，差异具有统计学意义。PP 双侧占 74.33%，单侧占 25.67%。关于症状，头痛病例为 32.43%，耳鸣 6.08%，偏头痛 3.38%。按年龄划分，年龄在 11 岁以下的患者中有 25%出现头痛，年龄在 12-14 岁之间的患者中有 54.17%出现头痛，年龄在 15-17 岁之间的患者中有 20.83%出现头痛。
PP 在意大利年轻患者中并不罕见，无论是否有症状，无论其年龄大小，均应在侧位头颅侧位片和 CBCT 中寻找，以进行颅颈面部疼痛的鉴别诊断和管理。
