PDF(Pubmed)
Abstract：
This case report describes a rare occurrence of pyogenic granuloma (PG) in the hard palate deviating from its typical gingival location that led to the formation of an alveolar cleft. The aggressive growth pattern of the lesion, with atypical progression from a pedunculated nodule to an alveolar cleft, raised concern. The diagnosis was based on magnetic resonance imaging and computed tomography findings, which revealed a tadpole-shaped lesion originating from the midline hard palate. The differential diagnosis included a minor salivary gland tumor. Surgical excision was performed under general anesthesia and resulted in a mucosal defect without nasolabial fistula formation or bone exposure. The palatal defect was packed with oxidized regenerated cellulose and closed with Vicryl Rapide sutures, both of which contributed to the patient\'s successful outcomes. Our comprehensive approach, extending across the stages of surgical planning, execution, and postoperative care, demonstrated the advantages of a multidisciplinary strategy for the accurate diagnosis and effective treatment of palatal PGs. This report makes a meaningful contribution to the existing literature on common oral lesions by emphasizing the importance of a broad differential diagnosis and a systematic approach to oral pathologies. It also raises clinical awareness of PGs with atypical presentations and the diagnostic challenge that they pose.
摘要：
此病例报告描述了在硬腭中罕见的化脓性肉芽肿（PG），偏离了其典型的牙龈位置，从而导致了牙槽裂的形成。病变的侵袭性生长模式，从带蒂结节到肺泡裂隙的非典型进展，引起关注。诊断基于磁共振成像和计算机断层扫描结果，显示出a形病变起源于中线硬腭。鉴别诊断包括一个小唾液腺肿瘤。在全身麻醉下进行手术切除，导致粘膜缺损，而没有鼻唇沟瘘形成或骨暴露。腭缺损用氧化再生纤维素填充，并用VicrylRapide缝线封闭，两者都有助于患者的成功结果。我们的全面方法，延伸到手术计划的各个阶段，执行，和术后护理，证明了多学科策略在准确诊断和有效治疗palPG方面的优势。本报告通过强调广泛的鉴别诊断和系统的口腔疾病方法的重要性，为有关常见口腔病变的现有文献做出了有意义的贡献。它还提高了临床对具有非典型表现的PG的认识以及它们所带来的诊断挑战。
