Periosteal new bone formation in the jaws. A computed tomographic study

Dento Maxillo Facial Radiology
M IdaT Sasaki

Abstract

To investigate the diagnostic significance of a periosteal reaction (PR) in diseases of the jaws. The frequency of PR was investigated in 1142 patients who had undergone CT of the maxilla or mandible. The pattern of PR was categorized as either parallel, irregular, spicule or Codman's triangle. We examined the relationship of the pattern of PR to the specific disease categories of osteomyelitis, trauma, cysts, benign tumours and malignant tumors. Seventy patients were found to have PR. It was found in 40% of cases with osteomyelitis and 15% of malignant tumors. The only benign lesion was an eosinophilic granuloma. There were no cysts. The frequency of PR was higher in younger patient and in those with sarcomas or bone metastases compared with those with carcinomas. Ninety-one percent of the patients with osteomyelitis showed single or multi-layered PR parallel to the cortical bone, while 61% of those with malignant tumors had a spicule pattern. With the exception of Codman's triangle, none of the PR patterns were specifically associated with any one disease category. When the PR pattern was combined with the pattern of cortical bone destruction, 90% of the patients with PR could be correctly assigned to one or other of the four...Continue Reading

References

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Citations

Apr 11, 2003·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Yasushi HariyaShigenobu Kanda
Sep 29, 2007·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Yoshiko ArijiEiichiro Ariji
Nov 14, 2006·The British Journal of Oral & Maxillofacial Surgery·Joseph M FullmerAllan G Farman
Apr 6, 2012·Australian Dental Journal·Mansur AhmadM Downie
May 17, 2012·Cranio : the Journal of Craniomandibular Practice·Seigo OhbaIzumi Asahina
Jul 10, 2002·International Journal of Oral and Maxillofacial Surgery·Y ArijiE Ariji
May 9, 2015·Oral and Maxillofacial Surgery Clinics of North America·Alex M Greenberg
Nov 30, 2018·Oral Radiology·Galal Omami
Oct 14, 2020·Journal of Bone and Mineral Metabolism·Sakiko SoutomeMasahiro Umeda
Dec 15, 2020·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Sharon Grad-AkrishOfer Ben-Izhak
Apr 23, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sakiko SoutomeToshiyuki Saito
May 19, 2021·Ear, Nose, & Throat Journal·Galal Omami
Jul 9, 2021·Imaging Science in Dentistry·Pornkawee CharoenlarpVichittra Vipismakul

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