Gordon N C, Swann N P, Hansen L S
J Oral Surg. 1980 May;38(5):361-5.
A case is presented of a patient with the coincidental occurrence of two unusual lesions, median palatine cyst and osteoma of the maxillary antrum. There was no atypia of either lesion, but this combination led to the impression that the median palatine cyst had eroded into the maxillary antrum. Both lesions are usually asymptomatic and were incidental findings in this case. An occlusal radiograph is best for showing the palatal radiolucent area and is usually diagnostic. The preferred treatment for median palatine cyst is enucleation; a palatal splint is an excellent aid for reapproximation of the mucoperiosteal flap. The maxillary antrum was explored to obtain a biopsy specimen for a microscopic diagnosis of the radiopaque lesion; this proved to be an osteoma. The diagnosis of an osteoma is an indication for a radiographic survey to rule out Gardner syndrome, which has serious implications.
本文报告一例患者，其同时出现了两种不寻常的病变，即腭正中囊肿和上颌窦骨瘤。两种病变均无异型性，但这种组合让人感觉腭正中囊肿已侵蚀至上颌窦。这两种病变通常都没有症状，在该病例中均为偶然发现。咬合片最适合显示腭部的透射区，通常具有诊断价值。腭正中囊肿的首选治疗方法是摘除术；腭夹板对黏骨膜瓣的重新贴合非常有帮助。对上颌窦进行探查以获取活检标本，用于对不透射线病变进行显微镜诊断；结果证实为骨瘤。骨瘤的诊断表明需要进行影像学检查以排除具有严重影响的加德纳综合征。
