Chen Mu-Hsiung, Kao Chin-Ting, Yu-Fong Chang Julia, Wang Yi-Ping, Wu Yu-Hsueh, Chiang Chun-Pin
Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.
J Dent Sci. 2019 Dec;14(4):378-382. doi: 10.1016/j.jds.2019.05.002. Epub 2019 Jun 13.
BACKGROUND/PURPOSE: The classic Stafne bone defect (SBD) is a rare small well-demarcated radiolucent lesion in the molar region of the mandible near the mandibular angle. This study reported a series of 5 SBD cases.
This study reviewed 4000 consecutive panoramic radiographs from February 2017 to May 2017 and found 5 classic SBD cases. The clinical and radiographic findings of these 5 SBD cases were reported.
We found 5 SBD cases presenting as small, well-defined, and radiolucent lesions at the typical first molar to third molar region of the mandible near the mandibular angle and below the mandibular canal. The mean age of the 5 patients at the time of diagnosis was 53.4 years (range, 45-69 years). All the 5 SBD cases occurred in male patients, 3 were on the right side and 2 were on the left side of the mandible. The mean greatest dimension of the 5 SBDs was 1.5 cm (range, 1.2-1.9 cm). All the 5 SBD cases were found incidentally on the panoramic radiographs and two of them were confirmed by cone-beam computed tomography. No surgical intervention was performed for these 5 SBD cases.
The classic SBDs occur most frequently in male patients in the age group between 40 years and 60 years. For the SBDs at the typical site of the molar region of the mandible near the mandibular angle and below the mandibular canal, these lesions can be monitored by panoramic radiography once per one or two years.
背景/目的:经典型斯陶德骨缺损(SBD)是下颌骨磨牙区靠近下颌角处一种罕见的、边界清晰的透光性病变。本研究报告了5例SBD病例。
本研究回顾了2017年2月至2017年5月期间连续的4000张全景X线片,发现5例经典型SBD病例。报告了这5例SBD病例的临床和影像学表现。
我们发现5例SBD病例表现为下颌骨典型的第一磨牙至第三磨牙区靠近下颌角且在下颌管下方的小的、边界清晰的透光性病变。5例患者诊断时的平均年龄为53.4岁(范围45 - 69岁)。5例SBD病例均发生在男性患者中,3例位于下颌骨右侧,2例位于左侧。5个SBD的平均最大直径为1.5厘米(范围1.2 - 1.9厘米)。5例SBD病例均在全景X线片上偶然发现,其中2例经锥形束计算机断层扫描证实。这5例SBD病例均未进行手术干预。
经典型SBD最常发生于40岁至60岁的男性患者。对于下颌骨磨牙区靠近下颌角且在下颌管下方的典型部位的SBD,这些病变可每1 - 2年通过全景X线片进行监测。