颌骨最常见的病变之一是牙齿顶端的细菌引起的炎症,随后的骨吸收通常在X射线照片中表现为射线透过性。通常,相应的临床和影像学检查结果相关,并允许准确的诊断。然而,本病例报告中记录的偶尔会出现意外且完全不同的诊断。一名55岁的女性患者,她的右上颌骨怀疑有根性囊肿。治疗计划包括膀胱切除术以及相邻和根管填充牙齿15和16的根尖手术。然而,术中发现绝对不适合根性囊肿,而是粘液滞留囊肿,随后可以通过组织病理学证实。颌骨内粘液滞留囊肿的诊断是非同寻常的,因此在文献中从未描述过。
One of the most frequent pathologies of jaw bone is a bacteria-induced inflammation at the apices of teeth with subsequent bone resorption that typically presents as a radiolucency in radiographs. Usually, corresponding clinical and radiographic findings correlate and allow for an accurate diagnosis. However, occasionally an unexpected and completely different diagnosis presents as documented in this
case report. In a 55-year-old female patient, a radicular cyst was suspected in her right maxillary bone. The treatment plan included a cystectomy as well as apical surgery of the adjacent and root-canal filled teeth 15 and 16. However, the intraoperative finding absolutely did not fit a radicular cyst but rather a mucous retention cyst, as could be confirmed subsequently by histopathology. The diagnosis of a mucous retention cyst within the jaw bone is extraordinary and as such has never been described before in the literature.