口腔疾病防治 ›› 2018, Vol. 26 ›› Issue (7): 464-467.DOI: 10.12016/j.issn.2096-1456.2018.07.011

• 防治实践 • 上一篇    下一篇

Stafne骨腔临床分析

陈芬(), 陈林林()   

  1. 南昌大学附属口腔医院,江西省口腔生物医学重点实验室,江西 南昌(330006)
  • 收稿日期:2017-11-24 修回日期:2018-01-04 出版日期:2018-07-20 发布日期:2018-08-30
  • 作者简介:

    【作者简介】 陈芬, 主治医师, 硕士, Email:cf0555@163.com

Stafne bone cavity

Fen CHEN(), Linlin CHEN()   

  1. Affiliated Stomatological Hospital of Nanchang University, Key Laboratory of Oral Biomedicine, Nanchang 330006, China
  • Received:2017-11-24 Revised:2018-01-04 Online:2018-07-20 Published:2018-08-30

摘要:

目的 探讨Stafne骨腔的临床表现与生物学特性,减少误诊及过度治疗。方法 对4例典型Stafne骨腔进行随访及临床回顾性分析,结合文献报道,分析Stafne骨腔的病因、临床表现、诊断标准和治疗方法。结果 Stafne骨腔,又被称为:静止性骨腔、 特发性骨腔、潜在性骨腔、涎腺迷走性缺损、下颌骨异位涎腺、下颌骨舌侧骨腔、下颌骨舌侧骨皮质缺损等,临床发病率约0.5%。在临床上极易被误诊为颌骨囊肿或颌骨肿瘤而进行不必要的治疗。关于Stafne骨腔病因,学者倾向于发育性和腺源性两种学说,临床多无症状,偶尔有疼痛,好发于男性,好发年龄为40~60岁,Stafne骨腔影像学诊断标准为:①下颌骨圆形或卵圆形透射影,密度均匀明显的骨皮质白线;②能明确与邻近的结构如牙齿区别开来;③位于典型位置:在下颌角及磨牙区,位于下颌神经管下方。大多数Stafne骨腔无进展性骨质破坏,不需要处理;个别可能逐渐发展。结论 Stafne骨腔临床多无症状,CBCT可明确诊断,不需手术治疗,可随诊观察。

关键词: Stafne骨腔, 下颌骨舌侧骨腔, 发育性, 腺源性

Abstract:

Objective To study the clinical manifestations and biological characteristics of Stafne bone cavity and to reduce misdiagnosis and excessive treatment. Methods Four cases of typical Stafne bone cavity, including clinical features and follow-up data, were retrospectively analyzed, and the results, combined with a review of the literature, were analyzed in terms of the etiology, clinical manifestations, diagnostic criteria and treatment of Stafne bone cavity. Results Stafne bone cavity is also known as static bone cavity, idiopathic bone cavity, latent bone cavity defects, aberrant salivary glands, heterotopic mandibular salivary glands, mandibular lingual bone cavity, mandibular lingual cortical bone defect, etc. The incidence of Stafne bone cavity is approximately 0.5%. This condition is easily misdiagnosed as a jaw or jaw cyst tumor and treated unnecessarily. Most scholars believe that the causes of Stafne bone cavity can be divided into two types: developmental and glandular. Stafne bone cavity is characterized by either no symptoms or occasional pain. This condition is observed mostly in 40-60-year-old male patients. The imaging diagnostic criteria for Stafne bone cavity are as follows: ① projecting round or ovoid mandible and uniform density with a distinct bone-cortical white line; ② clearly distinguishable from adjacent structures, such as teeth; ③ typical location in the mandibular angle and molar area, below the mandibular neural tube. Most Stafne bone cavities without advanced bone destruction do not require treatment, although individual cases may gradually progress. Conclusion Stafne bone cavity presents no symptoms or causes occasional pain and can be clearly diagnosed with CBCT. This condition does not require surgical treatment and should be followed up with observation.

Key words: Stafne bone cavity, Mandibular lingual bone cavity, Developmental, Glandular

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