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題 名 | Florid Osseous Dysplasia: Case Report=繁盛性骨發育不良:病例報告 |
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作 者 | 郭松泊; 陳文和; 孫品超; 任爾崇; | 書刊名 | 長庚醫學 |
卷 期 | 22:1 1999.03[民88.03] |
頁 次 | 頁147-152 |
分類號 | 416.9 |
關鍵詞 | 繁盛性骨發育不良; 顎骨; 骨髓炎; 牙周病; 牙髓病變; Florid osseous dysplasia; FOD; Jawbone; Osteomyelitis; Periodontitis; Pulpopathosis; |
語 文 | 英文(English) |
中文摘要 | 繁盛性骨發育不良(florid osseous dysplasia)是顎骨特有的一種良性且非贅 瘤性( non-neoplastic )病變。目前原因未明,可能與種族、遺傳或局部刺激有關。患者 以中年女性居多。好發於黑人,次為白人,東方人最少。被侵犯的顎骨多無臨床症狀,偶有 疼痛產生,因此毋需治療,但很容易因牙周病、牙髓病變、配戴活動假牙、根管治療、拔牙 、骨活體切片及其他不適當的牙科治療等原因導致感染而產生骨髓炎。一旦有骨髓炎的併發 症產生時,建議先採取抗生素及較保守的治療方式移除牙源性感染的來源。如果以前述方式 治療之後,發炎現像仍持續存在,就必須考慮以外科手術切除。在此我們提出一個因牙周病 及施以骨活體切片所導致骨髓炎的繁盛性骨發育不良的病例。該患者已接受外科手術治療且 術後追�j情形良好。本篇病例報告的目的在回顧有關繁盛性骨發育不良的文獻,並籍此病例 來強調臨床、放射線學表徵及鑑別診斷和治療的探討。 |
英文摘要 | Florid osseous dysplasia (FOD) is a benign, non-neoplastic lesion characterized by multiple sclerosing masses only within the jawbones. It is most prevalent in middleaged black women but uncommon in Orientals. Most cases are asymptomatic and should be left untreated. However, the jawbone involved in FOD is very susceptible to infection, including osteomyelitis developed from periodontitis, pulpopathosis, bone biopsy, wearing removable partial dentures, root canal therapy, tooth extraction, inappropriate dental treatment, etc. If secondary osteomyelitis develops, antibiotic and conservative dental therapy treatment is recommended for removing the sources of the odontogenic infection. Surgical removal of inflamed masses is indicated if the inflammatory signs and symptoms are persistent after antibiotic and conservative dental therapy. Here we report a rare FOD case in which an osteomyelitis resulting from generalized periodontitis and bone biopsy was triggered. The patient was accepted for surgery and follow-up in our department. The current literature of this disease is reviewed as well, focusing especially on the clinical manifestations, radiographic features, differential diagnosis, and treatment. |
本系統中英文摘要資訊取自各篇刊載內容。