Delantoni Antigoni, Matiakis Apostolos, Andreadis Dimitrios, Poulopoulos Athanasios
Oral Surgery, Implant Surgery and Radiology, Aristotle University of Thessaloniki, Greece.
Oral Pathology, Aristotle University of Thessaloniki, Greece.
J Ultrason. 2022 Sep 1;22(90):e200-e203. doi: 10.15557/jou.2022.0033. eCollection 2022 Sep.
The aim of the present paper is to determine the diagnostic features of the rare presentation of osteochondroma in the mandible. The unusual aspect in this case is that the diagnosis was not established with cone beam computer tomography, which is a commonly used radiographic technique in dentistry, but with the use of ultrasonography.
Ultrasonography is very useful for initial examinations, avoiding patient exposure to additional radiation and setting the diagnosis in debatable soft tissue involvement of various lesions. In the presented case, even though the clinical presentation was indicative, the cone beam computer tomography evaluation could not confirm the diagnosis, so the final diagnosis was made by ultrasonography.
With the latest advances in the applications of ultrasonography in the maxillofacial region, an examination of lesions on the floor of the mouth or in the neck area may set the diagnosis in cases where hard tissue imaging does not provide enough information.
本文旨在确定下颌骨骨软骨瘤罕见表现的诊断特征。该病例的不同寻常之处在于,诊断并非通过牙科常用的锥形束计算机断层扫描技术得出,而是使用超声检查确定的。
超声检查对于初步检查非常有用,可避免患者受到额外辐射,并在各种病变的软组织受累情况存在争议时做出诊断。在本病例中,尽管临床表现具有指示性,但锥形束计算机断层扫描评估无法确诊,因此最终诊断由超声检查做出。
随着超声检查在颌面部区域应用的最新进展,对于口底或颈部区域的病变检查,在硬组织成像无法提供足够信息的情况下,可能有助于做出诊断。