STAFNE KEMİK KAVİTESİNİN PANORAMİK RADYOGRAFİ İLE DEĞERLENDİRİLMESİ : RETROSPEKTİF BİR ÇALIŞMA

Year 2023, Volume: 9 Issue: 3, 128 - 134, 28.12.2023

Ebru Yüksel Kaya , Gediz Geduk , Çiğdem Şeker

https://doi.org/10.21306/dishekimligi.1302514

Abstract

Amaç: Stafne kemik kavitesi (SKK) terimi, çoğunlukla mandibular kemiği etkileyen lokalize bir kemik defektini tanımlar. Bu çalışmanın amacı, kliniğimize başvuran hastalarda SKK prevelansını belirlemek, SKK’nin panoramik radyografilerdeki özelliklerini tanımlamak ve olası karakteristik özelliklerini belirlemektir.
Gereç ve Yöntemler: Zonguldak Bülent Ecevit Üniversitesi’ne 2019-2022 yılları arasında çeşitli nedenlerle başvuran 17.258 hastanın panoramik radyografileri retrospektif olarak tarandı. Çalışmaya dahil edilen 16.115 panoramik radyografi içinden SKK tespit edilen hastaların yaşı, cinsiyeti kayıt altına alındı ve defektin bulunduğu taraf , defektin şekli, marjin sklerozu, internal radyolusensi derecesi, lokularitesi, mandibular kanalla olan ilişkisi, mandibula inferior korteksiyle ilişkisi değerlendirildi, yatay ve dikey boyut ölçümleri kaydedildi.
Bulgular: İncelenen 16.115 görüntü arasından 15’inde (% 0.09) SKK belirlendi. En fazla gördüğümüz radyografik özellikler; oval şekil (% 73.3), kalın sklerotik sınır (% 53.3), homojen olmayan radyolusent içerikti (% 53.3). Defektlerin sadece 1 tanesi multiloküleydi. Defektlerin mandibular kanalla olan ilişkisinde ise defektlerin çoğu mandibular kanalın alt duvarının altında bulunuyordu (% 53.3).
Sonuç: Bu çalışma, rutin diş hekimliği pratiğinde önemli radyografik incelemeler olan panoramik radyografilerde SKK’nın temel görüntüleme özelliklerini açıkladığı için önemlidir.
Anahtar Kelimeler: Mandibula, Panoramik Radyografi, Prevalans, Retrospektif çalışmalar

Keywords

Mandibula, Panoramik Radyografi, Prevalans, Retrospektif çalışmalar

EVALUATION OF STAFNE BONE CAVITY BY PANORAMIC RADIOGRAPHY: A RETROSPECTIVE STUDY

Abstract

Aim: The term staphne bone cavity (SBC) describes a localized bony defect that mostly affects the mandibular bone. The aim of this study is to determine the prevalence of SBC in patients admitted to our clinic, to describe the features of SBC on panoramic radiographs and to determine possible characteristics.
Material and Methods: Panoramic radiographs of 17,258 patients who applied to Zonguldak Bülent Ecevit University for various reasons between 2019 and 2022 were retrospectively scanned. Among 16,115 panoramic radiographs included in the study, the age and gender of the patients with SBC were recorded and the side of defect, the shape of defect, marginal sclerosis, degree of internal radiolucency, locularity, relationship with mandibular canal, relationship with inferior cortex of the mandible were evaluated, horizontal and vertical dimension measurements was recorded.
Results: SBC was detected in 15 (0.09 %) of the 16,115 images examined. The most common radiographic features; oval shape (73.3 %), thick sclerotic border (53.3 %), inhomogeneous radiolucent content (53.3 %). Only 1 of the defects was multiloculated. The most common topographic relationship between defect and mandibular canal was defect located below the inferior wall.
Conclusion: This study is important as it explains the basic imaging features of SBC in panoramic radiographs, which are important radiographic examinations in routine dental practice.

Keywords

Mandible, Panoramic Radiography, Prevalence, Retrospective Study

References

• 1. Stafne EC. Bone cavities situated near the angle of the mandible. J Am Dent Assoc. 1942;29:1969-72.
• 2. Kaya M, Ugur KS, Dagli E, Kurtaran H, Gunduz M. Stafne bone cavity containing ectopic parotid gland. Braz J Otorhinolaryngol. 2018;84(5):669-72.
• 3. Assaf AT, Solaty M, Zrnc TA, et al. Prevalence of Stafne's bone cavity--retrospective analysis of 14,005 panoramic views. In Vivo. 2014;28(6):1159-64.
• 4. Mauprivez C, Sahli Amor M, Khonsari RH. Magnetic resonance sialography of bilateral Stafne bone cavities. J Oral Maxillofac Surg. 2015;73(5):934.e1-934.e47.
• 5. Shields ED. Technical note: Stafne static mandibular bone defect-further expression on the buccal aspect of the ramus. Am J Phys Anthropol. 2000;111(3):425-27.
• 6. 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(2):152-58.
• 8. Katz J, Chaushu G, Rotstein I. Stafne's bone cavity in the anterior mandible: a possible diagnostic challenge. J Endod. 2001;27(4):304-07.
• 9. Schneider T, Filo K, Locher MC, et al. Stafne bone cavities: systematic algorithm for diagnosis derived from retrospective data over a 5-year period. Br J Oral Maxillofac Surg. 2014;52(4):369-74.
• 10. More CB, Das S, Gupta S, Patel P, Saha N. Stafne's Bone Cavity: A Diagnostic Challenge. J Clin Diagn Res. 2015;9(11):ZD16-ZD19.
• 11. Slasky BS, Bar-Ziv J. Lingual mandibular bony defects: CT in the buccolingual plane. J Comput Assist Tomogr. 1996;20(3):439-43.
• 12. Hisatomi M, Munhoz L, Asaumi J, Arita ES. Stafne bone defects radiographic features in panoramic radiographs: Assessment of 91 cases. Med Oral Patol Oral Cir Bucal. 2019;24(1):e12-e19.
• 13. Ariji E, Fujiwara N, Tabata O, et al. Stafne's bone cavity. Classification based on outline and content determined by computed tomography. Oral Surg Oral Med Oral Pathol. 1993;76(3):375-80.
• 14. Sahin M, Görgün S, Güven O. Stafne's bone cavity. Turk Klinikleri J Dent Sci. 2005;11:39-42.
• 15. Regezi JA, Sciubba J, Jordan RCK. Oral pathology clinical pathologic correlations. Philadelphia. WB Saunders Co. 2003;259-60.
• 16. Bornstein MM, Wiest R, Balsiger R, Reichart PA. Anterior Stafne's bone cavity mimicking a periapical lesion of endodontic origin: report of two cases. J Endod. 2009;35(11):1598-02.
• 17. Turkoglu K, Orhan K. Stafne bone cavity in the anterior mandible. J Craniofac Surg. 2010;21(6):1769-75.
• 18. Assaf AT, Solaty M, Zrnc TA, et al. Prevalence of Stafne's bone cavity--retrospective analysis of 14,005 panoramic views. In Vivo. 2014;28(6):1159-64.
• 19. Belmonte-Caro R, Vélez-Gutiérrez MJ, García De La Vega-Sosa FJ, et al. A Stafne's cavity with unusual location in the mandibular anterior area. Med Oral Patol Oral Cir Bucal. 2005;10(2):173-79.
• 20. Minowa K, Inoue N, Izumiyama Y, et al. Static bone cavity of the mandible: Computed tomography findings with histopathologic correlation. Acta Radiol. 2006;47(7):705-09.
• 21. 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(1):2-7.
• 22. Minowa K, Kobayashi I, Matsuda A, et al. Static bone cavity in the condylar neck and mandibular notch of the mandible. Aust Dent J. 2009;54(1):49-53.
• 23. Friedrich RE, Barsukov E, Kohlrusch FK, et al. Lingual Mandibular Bone Depression. In Vivo. 2020;34(5):2527-41.
• 24. 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(5):281-90.
• 25. Slasky BS, Bar-Ziv J. Lingual mandibular bony defects: CT in the buccolingual plane. J Comput Assist Tomogr. 1996;20(3):439-43.
• 26. Asgary S, Emadi N. Cone-beam computed tomography analysis of lingual mandibular bone depression in the premolar region: A case report. Clin Case Rep. 2020;8(3):523-26.
• 27. de Courten A, Küffer R, Samson J, Lombardi T. Anterior lingual mandibular salivary gland defect (Stafne defect) presenting as a residual cyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(4):460-64.
• 28. Smith MH, Brooks SL, Eldevik OP, Helman JI. Anterior mandibular lingual salivary gland defect: a report of a case diagnosed with cone-beam computed tomography and magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(5):71-8.
• 29. Grellner TJ, Frost DE, Brannon RB. Lingual mandibular bone defect: report of three cases. J Oral Maxillofac Surg. 1990;48(3):288-96.
• 30. Hansson LG. Development of a lingual mandibular bone cavity in an 11-year-old boy. Oral Surg Oral Med Oral Pathol. 1980;49(4):376-78.
• 31. Quesada-Gómez C, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Stafne bone cavity: a retrospective study of 11 cases. Med Oral Patol Oral Cir Bucal. 2006;11(3):277-80.
• 32. Morita L, Munhoz L, Nagai AY, Hisatomi M, Asaumi J, Arita ES. Imaging features of Stafne bone defects on computed tomography: An assessment of 40 cases. Imaging Sci Dent. 2021;51(1):81-6.
• 33. Taysi M, Ozden C, Cankaya B, Olgac V, Yıldırım S. Stafne bone defect in the anterior mandible. Dentomaxillofac Radiol. 2014;43(7):1045-48.
• 34. Friedrich RE, Zustin J, Scheuer HA, Assaf AT, Gröbe A. An unilateral basal bone defect of the mandible occupied by fatty tissue: Stafne's cavity. In Vivo. 2012;26(6):1045-48.
• 35. Evirgen Ş, Yüksel HT, Türkmenoğlu A, Bir Grup Hasta Popülasyonunda Görülen Stafne Kemik Kavitesinin Radyografik Özelliklerinin Değerlendirilmesi. Selcuk Dent J. 2021;1:15-20.
• 36. Sımpson W. A Stafne's Mandıbular Defect Contaınıng A Pleomorphıc Adenoma: Report Of Case. J Oral Surg. 1965;23:553-56.