He Jie, Wang Jian, Hu Yongjie, Liu Wei
Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
National Clinical Research Center for Oral Diseases, Shanghai, China.
J Dent Sci. 2019 Dec;14(4):435-439. doi: 10.1016/j.jds.2019.06.001. Epub 2019 Jul 22.
Stafne bone cavity (SBC) is a rare mandibular defect, and the diagnosis and management may be confused with the unusual contents and location. This report for the first time presented a case of SBC with a lymph node content. Meanwhile, a rare case of anterior SBC with fatty tissue content is reported. Typical SBCs with salivary glands content are asymptomatic and showed a well-shaped, ovoid, radiolucent image in the posterior mandible below the inferior alveolar canal in panoramic radiograph. The case of SBC with a lymph node content underwent surgical operation, and definite diagnosis is confirmed by histopathological examination. The case of anterior SBC with fatty tissue content is clarified by MRI confirmed the presence of the fatty tissue and avoided surgical exploration. Surgical interventions would be an unnecessary option in the management of SBC except for the doubtful cases or concomitant other pathologies.
斯塔夫内骨腔(SBC)是一种罕见的下颌骨缺损,因其内容物和位置异常,诊断和处理可能会产生混淆。本报告首次呈现了一例含有淋巴结的SBC病例。同时,报告了一例罕见的含有脂肪组织的前位SBC病例。典型的含有唾液腺的SBC无症状,在全景X线片上显示为下颌骨后部、牙槽神经管下方形态良好的椭圆形透射影像。含有淋巴结的SBC病例接受了手术治疗,组织病理学检查确诊。含有脂肪组织的前位SBC病例通过MRI明确了脂肪组织的存在,避免了手术探查。除可疑病例或伴有其他病变外,手术干预在SBC的处理中并非必要选择。