Stafne's bone defect: a systematic review.

IF 2.2 3区医学

Medicina oral, patologia oral y cirugia bucal Pub Date : 2023-05-01 DOI:10.4317/medoral.25676

A Soares, L Ferreira, C Calderipe, R Bologna-Molina, M Damian, M Martins, F Silveira, A-C Vasconcelos

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Abstract

Background: This systematic review integrated the available data published in the literature on Stafne's bone defect (SBD), considering the clinical, imaging and histopathological results.

Material and methods: An electronic search was undertaken in six databases. Eligibility criteria were: articles in English, Spanish, and Portuguese describing case reports or case series of SBD, reported up to September/2021. Risk of bias was assessed using the Joanna Briggs Institute tool.

Results: A total of 98 articles were retrieved, involving 465 individuals with SBD and were included for quantitative analysis. Mean age was 52.78 years (range: 11-89 years), with male predilection (n=374/80.85%). Radiographs were the most frequent imagiological exams (n=298/64.09%), followed by computed tomography (n=98/21.08%). SBD was more prevalent in the posterior mandible (n=361/93.77%) as a hypodense radiolucent lesion (n=250/77.40%). Mean size was 1.58 cm (range: 0.3-.8.0 cm). Two-hundred-and-two lesions (97.37%) were unilocular and 126 (91.97%) were classified as well-defined. Clinical symptoms were reported in 73 cases, while 68 cases (93.15%) were asymptomatic. Only 34 cases (12.32%) were submitted to histopathological examination. Mean follow-up time was 26.42 ±25.39 months.

Conclusions: SBD is more frequent in male patients in the fifth and sixth decade of life. Classic SBD is radiographically characterized as a single, unilocular and well-defined lesion in the posterior region of the jaw with a radiolucent/hypodense appearance.

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斯塔芬骨缺损:系统回顾。

背景:本系统综述综合考虑临床、影像学和组织病理学结果，综合了目前已发表的关于骨缺损(SBD)的文献资料。材料和方法:在六个数据库中进行电子检索。入选标准为:截至2021年9月报告的SBD病例报告或病例系列的英文、西班牙文和葡萄牙文文章。使用乔安娜布里格斯研究所的工具评估偏倚风险。结果:共检索到98篇文献，涉及465例SBD患者，并纳入定量分析。平均年龄52.78岁(范围:11 ~ 89岁)，男性为主(n=374/80.85%)。影像学检查以x线片检查最多(n=298/64.09%)，其次为计算机断层扫描检查(n=98/21.08%)。SBD以低密度放射性病变(n=250/77.40%)多见于后下颌骨(n=361/93.77%)。平均大小为1.58 cm (0.3- 0.8.0 cm)。222例(97.37%)为单眼病变，126例(91.97%)为定义良好病变。临床症状73例，无症状68例(93.15%)。仅有34例(12.32%)进行了组织病理学检查。平均随访26.42±25.39个月。结论:SBD多见于5、6岁男性患者。典型的SBD在x线上表现为单个、单眼和边界明确的病变，位于颌骨后区，呈放射性透光/低密度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina oral, patologia oral y cirugia bucal Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology