Abstract:
This study aimed at presenting a retrospective longitudinal analysis of the pediatric jaw lesions treated at the Oral and Maxillofacial Surgery Clinic in Cluj-Napoca, Romania, over a timeframe of ten years (2012 to 2022). The clinical and radiological characteristics of the jawbone lesions, the treatment outcome, and the recurrence incidence were described. All consecutive patients aged below 18 years, with histologically diagnosed odontogenic tumors (OTs), nonodontogenic tumors (non-OTs), or odontogenic cysts (OCs) were included. Age, dentition type, clinical symptoms, preoperative and postoperative radiological tests, histological diagnosis, treatment, and follow-up information one year following the diagnoses were all examined. Eighty-two cases were included. The ratio of men to women was 1.15:1, with the mandible predominating by 64.4%. Inflammatory radicular cysts predominated in 31.7% of cases. A total of 42.68% of the patients were asymptomatic. Enucleation was the most frequent surgical technique (45.1%), followed by cystectomies (28%) and marsupialization (14.6%). The overall recurrence rate was 7.3%; the most recurrent histopathological lesion was the odontogenic keratocyst. This study sheds new light on the clinical and radiological characteristics, treatment outcomes, and recurrence rate of juvenile jawbone lesions in children and adolescents. The diagnosis and treatment of jawbone lesions in children and adolescents can be enhanced with the use of epidemiological, clinical, and imagistic information.
摘要:
这项研究旨在对Cluj-Napoca口腔颌面外科诊所治疗的小儿颌骨病变进行回顾性纵向分析,罗马尼亚,在十年的时间框架内(2012年至2022年)。颌骨病变的临床和放射学特征,治疗结果,并对复发率进行了描述。所有年龄在18岁以下的连续患者,组织学诊断为牙源性肿瘤(OTs),非牙源性肿瘤(非OTs),或牙源性囊肿(OC)包括在内。年龄,牙列类型,临床症状,术前和术后放射学检查,组织学诊断,治疗,并检查了诊断后一年的随访信息。包括82例。男女比例为1.15:1,下颌骨占64.4%。在31.7%的病例中,炎性根性囊肿占主导地位。共有42.68%的患者无症状。眼球摘除术是最常见的手术技术(45.1%),其次是膀胱切除术(28%)和袋袋化术(14.6%)。总复发率为7.3%;最复发的组织病理学病变是牙源性角化囊肿。这项研究为临床和放射学特征提供了新的思路,治疗结果,儿童和青少年颌骨病变的复发率。使用流行病学可以加强儿童和青少年颌骨病变的诊断和治疗,临床,和想象的信息。