Craniofacial Manifestations Of Eosinophilic Granuloma

B. Uluğ, Atilla Ar nc, S. Ermi
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Abstract

Purpose : The aim of the study was to present the cranifacial manifestations of eosinophilic granuloma with the review of the features , the choice of the method of treatment and the outcome of the disease. Patients and Methods : We present 5 cases with the most common clinical presentations of intraoral swelling and loose teeth. The lesions were located at the maxilla and mandible . One patient had an ulcerative lesion at the temporal region of the scalp. The radiologic view showed lytic lesions at the scalp and maxilla-mandibular area. All of the patients had an incisional biopsy with the diagnosis of "Langerhans cell Histiocytosis". Results : The choice of treatment was curettage in all patients and radiotherapy was combinated in one patient. Postoperative follow-up of the patients showed no recurrence Conclusion : Intraoral lesions located at the maxilla and mandible associated with the loose teeth should be biopsied for the diagnosis of eosinophilic granuloma.
嗜酸性肉芽肿的颅面表现
目的:介绍嗜酸性肉芽肿的颅面表现,并对其特点、治疗方法的选择和预后进行综述。患者和方法:我们报告5例最常见的临床表现为口腔内肿胀和牙齿松动。病变位于上颌骨和下颌骨。一名患者在头皮颞区有溃疡性病变。放射学表现为头皮及上颌区溶解性病变。所有患者均行切口活检,诊断为“朗格汉斯细胞组织细胞增多症”。结果:所有患者均选择刮痧治疗,1例患者联合放疗。结论:口腔内病变位于上颌及下颌骨,伴牙松动者应行活检诊断嗜酸性肉芽肿。
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