Fifteen-millimeter Stafne defect in the anterior mandible: Diagnostic contribution of multislice computed tomography
DOI:
https://doi.org/10.5935/2525-5711.20190027Palabras clave:
X-Ray Computed Tomography, Radiography, Panoramic, Salivary Glands, Diagnostic ImagingResumen
A Stafne bone defect is a cavity in the mandible. There is controversy regarding the cause of this defect, but imaging findings offer important diagnostic contributions. The aim of this report is to present the tomographic findings of a rare case of an extensive bone defect in the anterior mandible. A 55-year-old man was seen at a dental service for oral rehabilitation with dental implants. He was asymptomatic. Panoramic radiography revealed an oval, delimited radiolucency of cystic and regular appearance encompassing the area from the apex of tooth 26 to tooth 29; the major axis was parallel to the base of the mandible. Multislice computed tomography showed a cavity with heterogeneous content and the following measurements: buccal-lingual width/depth, 1.0 cm; anteroposterior width, 1.38 cm; height, 1.54 cm; area, 0.94 cm²; volume, 2.14 cm3; and attenuation coefficient ± standard deviation, 19.86±91.27 HU. These data confirmed the diagnosis of an anterior variant of Stafne bone defect. The size of a Stafne bone defect needs to be considered when planning implant-supported rehabilitation and other interventions in the affected area. Recognition and definitive diagnosis of this condition are essential, particularly with increasing use of rehabilitation treatments with osseointegrated implants.
Citas
Stafne EC. Bone Cavities Situated Near the Angle of the Mandible. J Am Dent Assoc. 1942;29:1969-72.
Çağlayan F, Tozoğlu U. Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol. 2012;18:159-63.
Togan B, Gander T, Lanzer M, Martin R, Lübbers H. Incidence and frequency of nondental incidental findings on cone-beam computed tomography. J Craniomaxillofac Surg. 2016;44:1373-80.
Philipsen HP, Takata T, Reichart PA, Sato S, Suei Y. Lingual and buccal mandibular bone depressions: a review based on 583 cases from a world-wide literature survey, including 69 new cases from Japan. Dentomaxillofac Radiol. 2002;31:281-90.
Minowa K, Inoue N, Sawamura T, Matsuda A, Totsuka Y, Nakamura M. Evaluation of static bone cavities with CT and MRI. Dentomaxillofac Radiol. 2003;32:2-7.
Campos PS, Panella J, Crusoé-Rebello IM, Azevedo RA, Pena N, Cunha T. Mandibular ramus-related Stafne's bone cavity. Dentomaxillofac Radiol. 2004;33:63-6.
Apruzzese D, Longoni S. Stafne cyst in an anterior location. J Oral Maxillofac Surg. 1999;57:333-8.
Katz J, Chaushu G, Rotstein I. Stafne's bone cavity in the anterior mandible: a possible diagnostic challenge. J Endod. 2001;27:304-7.
Ozaki H, Ishikawa S, Kitabatake K, Yusa K, Tachiaban H, Iino M. A Case of Simultaneous Unilateral Anterior and Posterior Stafne Bone Defects. Case Rep Dent. 2015;2015:983956.
Bayrak NB. A rare presentation of Stafne bone cyst. J Stomatol Oral Maxillofac. Surg. 2019. pii: S2468-7855(19)30050-3. [Epub ahead of print]
Shimizu M, Osa N, Okamura K, Yoshiura K. CT analysis of the Stafne's bone defects of the mandible. Dentomaxillofac Radiol. 2006;35:95-102.
Taysi M, Ozden C, Cankaya B, Olgac V, Yıldırım S. Stafne bone defect in the anterior mandible. Dentomaxillofac Radiol. 2014;43:20140075.
Turkoglu K, Orhan K. Stafne bone cavity in the anterior mandible. J Craniofac Surg. 2010;21:1769-75.
Sisman Y, Miloglu O, Sekerci AE, Yilmaz AB, Demirtas O, Tokmak TT. Radiographic evaluation on prevalence of Stafne bone defect: a study from two centres in Turkey. Dentomaxillofac Radiol. 2012;41:152-8.
Lee KH, Thiruchelvam JK, McDermott P. Unusual Presentation of Stafne Bone Cyst. J Maxillofac Oral Surg. 2015;14:841-4.
Ariji E, Fujiwara N, Tabata O, Nakayama E, Kanda S, Shiratsuchi Y, et al. Stafne's bone cavity. Classification based on outline and content determined by computed tomography. Oral Surg Oral Med Oral Pathol. 1993;76:375-80.
Flores Campos PS, Oliveira JA, Dantas JA, de Melo DP, Pena N, Santos LA, et al. Stafne's Defect with Buccal Cortical Expansion: A Case Report. Int J Dent. 2010;2010:515931.
Segev Y, Puterman M, Bodner L. Stafne bone cavity-magnetic resonance imaging. Med Oral Patol Oral Cir Bucal. 2006;11:E345-7.
Adisen M, Yılmaz S, Misirlioglu M, Atil F. Evaluation of volumetric measurements on CBCT images using Stafne bone cavities as an example. Med Oral Patol Oral Cir Bucal. 2015;20:e580-6.
Hisatomi M, Munhoz L, Asaumi J, Arita E. Stafne bone defects radiographic features in panoramic radiographs: Assessment of 91 cases. Med Oral Patol Oral Cir Bucal. 2019;24:e12-9.
Precht C, Stockmann P, Neukam FW, Schlegel KA. Enlargement of a Stafne cyst as an indication for surgical treatment - a case report. J Craniomaxillofac Surg. 2013;41:270-3.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 1969 Mayara Simões Bispo, Bráulio Carneiro-Júnior, André Sampaio Souza, Frederico Sampaio Neves, Marcelle Alvarez Rossi, Iêda Crusoé-Rebello
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.