Retrospective analysis of clinical and radiographic features of patients with maxillofacial malignancies


Stevanovıc Sancar B., Günen Yılmaz S.

IADMFR, Brussels, Belgium, 5 May - 08 July 2023, pp.1-2

  • Publication Type: Conference Paper / Summary Text
  • City: Brussels
  • Country: Belgium
  • Page Numbers: pp.1-2
  • Akdeniz University Affiliated: Yes

Abstract

Aim: The aim of this study is to discuss the demographic, clinical and radiological features of

patients who were evaluated with suspicion of malignancy and subsequently diagnosed with

malignant pathology.

Material and methods: Medical and dental history such as age, gender, presence of systemic

disease was obtained from the digital report cards of the 27 patients admitted to Department of

Oral and Maxillofacial Radiology. The frequency maxillofacial malignancies, the region where

they are seen and clinical informations were examined. Furthermore, panoramic radiographs

and CBCT images were evaluated and features such as resorption in the related hard tissues,

periosteal reaction and perforation were examined in detail.

Results: The mean age of the patients was 54.5 ± 9.35 years, 16 male and 11 female (p>0.05).

Eight of the cases were found in the mandible, 12 in the maxilla, 2 in the maxillary sinus and

5 in the vertebra. Nine of the cases were hematologic malignancy, 4 were sarcoma, and 14

were carcinoma (p>0.05). Clinically, swelling, paraesthesia, ulceration, tooth mobility, pain

and lymph node involvement were not found in most of the patients (p> 0.05).

Radiologically;bone resorption was observed in 24 patients; expansion in 7 cases, periodontal

ligamentar changes in 14 cases, loss of lamina dura in 8 cases, and periosteal reaction in 6

cases.

Conclusion: In order to make an early diagnosis and avoid treatment delays, dentists must

thoroughly examine anatomical structures during clinical and radiographic evaluation. A

multidisciplinary approach, is required when a neoplastic lesion is suspected by radiological

examinations.