2016, Number 5
<< Back Next >>
Revista Habanera de Ciencias Médicas 2016; 15 (5)
Radiopaque lesions in orofacial soft tissue. Clinical and epidemiological behavior and therapeutic management in indwelling patients
Guerra CO, Fuentes PLL, Felipe TS
Language: Spanish
References: 17
Page: 714-723
PDF size: 74.35 Kb.
ABSTRACT
Introduction: The radiopacities in the orofacial soft tissue appears habitually as an
incidental finding in panoramic x-rays, exhibiting a relatively low frequency.
Objective: To identify the frequency of orofacial radiopaque lesions in soft tissue in
indwelling patients, its clinical consequences and therapeutic management.
Material and Methods: A descriptive transversal study was carried out in the
Dentistry Faculty "Raúl Gómez García", from January 2014 to January 2016. The
sample was constituted by 578 patients evaluated by the multidisciplinary
Implantology service, who had a panoramic study with properly established inclusion
criteria. To each patient was performed an interrogatory, clinical exam and exhaustive
analysis of his panoramic x-ray. The analyzed variables included: age, sex,
denomination, presence of pathological previous entities, presence of clinical findings
at the moment of examination, and therapeutic management.
Results: The radiopaque lesions appeared in 4,7% of the sample analyzed, they
prevailed in males (3,1%), the idiopathic calcifications reported a 66,6% and the
sialoliths a 55,5%. A 66,6% of discoveries were asymptomatic. A 33,4% needed
removal of radiopacities with associate tissue.
Conclusions: The radiopaque lesions of orofacial soft tissue in indwelling patients
are not very frequent, the idiopathic calcifications prevails, particularly the sialoliths,
and most of the lesions require therapeutic handling.
REFERENCES
Saga R, Fenyo M. Study of the localization of radiopacities similar to calcified carotid atheroma by means of panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. [Internet]. 2006 May; 01:374-8. [Citado 2016 Mar 3]. Disponible en: doi:10.1016/j.tripleo.2005.03.030
Noffke CE, Raubenheimer EJ. Radiopacities in soft tissue on dental radiographs: Diagnostic considerations. S Afr Dent J [Internet]. 2015 Mar;70(2): [aprox. 8 p.]. [Citado 2016 Mar 3]. Disponible en: http://www.scielo.org.za/pdf/sadj/v70n2/04.pdf
Bertalan N. Calcifications in the maxillofacial area. Fogorv Sz [Internet]. 2015 Sep;108(3):81-6. [Citado 2016 Mar 3]. Disponible en: http://www.ncbi.nlm.nih.gov/m/pubmed/?term=N%C3%A9meth%20Bertalan%5BAut hor%5D&sort=ac&from=/26731963/ac
Garay I, Olate S. Consideraciones actuales en el estudio imagenológico de las calcificaciones de tejidos blandos en zona de ángulo mandibular. Int J Odontostomat.[Internet]. 2013 Dic;7(3):455-464.[Citado 2016 Mar 3]. Disponible en http://dx.doi.org/10.4067/S0718-381X2013000300019
Touil H, Belghith A, Boudokhane M, Bouzaiene M. Myositis ossificans of the temporal muscle. Rev Stomatol Chir Maxillofac Chir Orale [Internet]. 2015 May;8(3):213. [Citado 2016 Mar 3]. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S2213-6533%2815%2900027-0
Paramalingam S, Kuok YJ. Eagle Syndrome as a potential cause of Tapia Syndrome. Med J Aust [Internet]. 2015 May;202(9):491. [Citado 2016 Mar 7] Disponible en: http://www.mja.com.au/doi/10.5694/mja14.01227
Mandian M. Incidental findings in the neck region of dental implants patients: a comparison between panoramic radiography and CBCT. J Mass Dent Soc [Internet]. 2014 May.198(6):324. [Citado 2016 Mar 7]. Disponible en: http://www.ncbi.nlm.nih.gov/m/pubmed/25226773/?i=2&from=/26731963/related
De Oliveira CN, Amaral TM, Abdo EN, Mesquita RA. Bilateral tonsilloliths and calcified carotid atheromas: case report and literature review. J Craniomaxillofac Surg [Internet]. 2013 Jun; 178(4):213. [Citado 2016 Mar 2]. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S1010-5182%2812%2900161-8
Garoff M, Johansson E, Ahlqvist J, Jaeghagen EL, Arnerlov C, Wester P. Detection of calcifications in panoramic radiographs in patients with carotid stenosis. Oral Surg Oral Med Oral Pathol Oral Radiol. [Internet]. 2014 May;117(3):385-91. [Citado 2016 Mar 2]. Disponible en: www.sciencedirect.com/science/article/pii/S2212440314000133
Taiwo E. Myositis ossificans of the platysma mimicking a malignancy: a case report with review of the literature. J Korean Assoc Oral Maxillofac Surg [Internet]. 2016 Feb;42(1):55–59.[Citado 2016 Mar 8]. Disponible en: http://dx.doi.org/10.5125%2Fjkaoms.2016.42.1.55
Manzano D, Silván A, Sáez J, Moreno JC. Myositis ossificans of the temporalis muscle. Case report. Med Oral Patol Oral Cir Bucal [Internet]. 2007 Dic;12:E277-80. [Citado 2016 Mar 8]. Disponible en: scielo.isciii.es/pdf/medicorpa/v12n4/03.pdf
Ghosh S, Singh K. A Rare case of low flow vascular malformation of head and neck region presenting with multiple phleboliths. J Clin Diagn Res [Internet]. 2015 Jun;9(6):ZJ01–ZJ02. [Citado 2016 Mar 6]. Disponible en: http://dx.doi.org/10.7860%2FJCDR%2F2015%2F11806.6034
Lara-Sánchez H. Cavernous hemangioma of the parotid gland in adults. J Clin Exp Dent [Internet]. 2014 Dec;6(5):e592–e594. [Citado 2016 Mar 6]. Disponible en: http://dx.doi.org/10.4317%2Fjced.51750
Kiralj A. Eagle's syndrome- A report of two cases. Vojnosanit Pregl [Internet]. 2015 May;72(5):458-62.[Citado 2016 Mar 6]. Disponible en: www.doiserbia.nb.rs/Article.aspx?id=0042-84501505458K
White S, & Pharoah M. Radiología Oral: Principios e interpretación radiográfica. 4a ed. Madrid: Harcourt; 2002.
Herrera RR. Calcificaciones en tejidos blandos detectados en radiografías panorámicas digitales de pacientes mayores de 40 años. Las Nuevas Bases de la Estomatología. [Internet] 2009 Ene; 1(1):13-6. [Citado 2016 Mar 6]. Disponible en: http://dx.doi.org/1361%2biest.2009.42.1.55
Jardim EC. Sialolithiasis of the submandibular gland. J Craniofac Surg [Internet] 2011 Jun;4(3):10-12. [Citado 2016 Mar 6].Disponible en: http://www.ncbi.nlm.nih.gov/m/pubmed/21586966/?i=4&from=/19507216/related