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一例罕见的源自拔牙部位的下颌骨外周外生性骨瘤:锥形束计算机断层扫描(CBCT)表现

A Rare Case of Peripheral Exophytic Osteoma of the Mandible Arising From an Extraction Site: Cone-Beam Computed Tomography (CBCT) Findings.

作者信息

Mohod Swapnil, Dadgal Komal V, K Rajanikanth, Dangore-Khasbage Suwarna, Pakhale Aayushi, Hande Alka

机构信息

Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 10;16(7):e64221. doi: 10.7759/cureus.64221. eCollection 2024 Jul.

Abstract

A benign osteogenic tumor made up of mature, well-differentiated bone tissue is called an osteoma. Jaw solitary peripheral osteomas are an uncommon occurrence. The mandible is affected more frequently than the maxilla, and the lingual side of the body, the angle, and the inferior border of the jaw are the sites of highest preference. Males are more likely than females to be impacted by osteomas, which can strike at any age. Patients with osteomas should be considered to have Gardner syndrome. This condition includes many embedded or supernumerary teeth, skeletal abnormalities such as osteoma and hyper calcification of the maxillary bones or skull, skin and soft tissue tumors, and gastroenteric polypus. Differential diagnosis is crucial since the development of gastroenteric polyps, which have a potentially malignant progression, occurs before oral and maxillofacial symptoms emerge. Mandibular osteomas are uncommon; even rarer is a massive osteoma with a prevalence of 0.01-0.04% of the population. That's the reason this is being discussed in this article. The primary differential diagnosis and pertinent clinical information from previously published literature are also included in this article.

摘要

由成熟、分化良好的骨组织构成的良性骨肿瘤称为骨瘤。颌骨孤立性外周骨瘤较为罕见。下颌骨比上颌骨更常受累,下颌骨体部的舌侧、角部及下颌下缘是最常发生的部位。男性比女性更易患骨瘤,骨瘤可发生于任何年龄。骨瘤患者应考虑患有加德纳综合征。该病症包括许多埋伏牙或多生牙、骨骼异常,如骨瘤以及上颌骨或颅骨的钙化过度、皮肤和软组织肿瘤,还有胃肠道息肉。鉴别诊断至关重要,因为有潜在恶性进展的胃肠道息肉在口腔颌面部症状出现之前就已发生。下颌骨骨瘤并不常见;巨大骨瘤更为罕见,其在人群中的患病率为0.01 - 0.04%。这就是本文讨论它的原因。本文还包括主要鉴别诊断以及来自既往发表文献的相关临床信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d0/11315418/d26fa2211129/cureus-0016-00000064221-i01.jpg

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