Department of Oral and Maxillofacial Surgery, School of Dentistry, Baskent University, Ankara, Turkey.
Department of Biostatistics, Faculty of Medicine, Baskent University, Ankara, Turkey.
J Craniomaxillofac Surg. 2022 Jun;50(6):523-531. doi: 10.1016/j.jcms.2022.03.005. Epub 2022 Apr 11.
The aim of this study was to evaluate the benign paediatric jaw lesions based on the 2017 World Health Organization (WHO) classification. Demographic data, symptoms, radiographic findings, location, size, histopathologic diagnosis, treatment modalities, and outcomes were analysed retrospectively. Recurrence incidence, time to recur, and follow-up time were also evaluated. One hundred seven lesions were diagnosed in 100 patients (44 female, 56 male). The mean follow-up time was 56.6 ± 45.7 months. The mean age was 12. 9 ± 3.9 years and the majority of lesions were found in the permanent dentition group (p = 0.045). There were 73 patients with odontogenic cysts, followed by 16 patients with odontogenic tumors, and 11 patients with non-odontogenic tumors. Eighty seven lesions (81%) were radiolucent and 93 lesions (86%) were well-circumscribed. The majority of the patients (n = 96) were treated by enucleation. Recurrence was seen in 3 patients. The most notable difference between the results of the present study and the results of the study conducted in medical institutions was the distributions of jaw lesions. Within the limitations of the study it seems that a conservative treatment of benign jaw lesions should be preferred in the paediatric population because this treatment yields acceptable results.
本研究旨在根据 2017 年世界卫生组织（WHO）分类评估良性儿科颌骨病变。回顾性分析了人口统计学数据、症状、影像学表现、部位、大小、组织病理学诊断、治疗方式和结果。还评估了复发率、复发时间和随访时间。100 名患者（44 名女性，56 名男性）中诊断出 107 个病变。平均随访时间为 56.6 ± 45.7 个月。平均年龄为 12.9 ± 3.9 岁，大多数病变发生在恒牙组（p = 0.045）。有 73 名患者为牙源性囊肿，其次是 16 名牙源性肿瘤患者，11 名非牙源性肿瘤患者。87 个病变（81%）为透光性，93 个病变（86%）边界清楚。大多数患者（n = 96）接受了剜除术治疗。3 例患者出现复发。本研究与医疗机构研究结果的最显著差异是颌骨病变的分布。在研究的限制范围内，似乎在儿科人群中，良性颌骨病变的保守治疗应该是首选，因为这种治疗可以获得可接受的结果。
