대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제48권4호
  • /
  • Pages.476-483
  • /
  • 2021
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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하악 결합 부위에 발생한 외상성 골낭 : 증례보고

Traumatic Bone Cyst in the Mandibular Symphysis : Case Reports

  • 성민아 (조선대학교 치과대학 소아치과학교실) ;
  • 이난영 (조선대학교 치과대학 소아치과학교실) ;
  • 이상호 (조선대학교 치과대학 소아치과학교실) ;
  • 지명관 (조선대학교 치과대학 소아치과학교실)
  • Sung, Minah (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Nanyoung (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Sangho (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Jih, Myeongkwan (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
  • 투고 : 2021.06.10
  • 심사 : 2021.08.24
  • 발행 : 2021.11.30
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초록

외상성 골낭은 임상 증상이 없으며 청소년기에 호발 한다. 주로 정기검진을 위한 파노라마 촬영시에 우연히 발견되며 병소는 비교적 경계가 뚜렷한 단일성의 방사선 투과상으로 가리비 껍질 모양의 변연을 보인다. 조직학적 소견으로 해면골내 공동과 얇고 느슨한 결합조직의 이장이 관찰된다. 상피세포의 이장이 존재하지 않는 것이 주된 조직학적 특징이다. 호발 부위는 하악 견치부와 제3대구치 사이이다. 하악 결합 부위에서는 드물게 나타난다. 외상성 골낭의 발병원인은 아직 명확하지 않다. 외상성 골낭은 외과적 적출술과 소파술로 치료되며 외과적인 처치 후 6 - 12 개월 정도 지나면 새로운 골로 채워진다. 대부분의 케이스에서 치료 전 외상성 골낭으로 진단 내리는 것은 한계가 있다. 따라서 본 증례에서는 방사선학적, 조직학적 검사를 통해 진단 내렸다. 두 환자 모두 외상 관련 병력은 없었다. 외과적 처치 후 파노라마와 CBCT를 이용하여 골성 치유를 확인하였다.

Traumatic bone cyst (TBC) is an asymptomatic lesion seen most in adolescents. TBC is found incidentally on routine panoramic examinations and appears as a relatively well-demarcated unilocular radiolucency with scalloped margins. Histological examination reveals a vacant cavity of cancellous bone usually unlined or very occasionally lined with a thin connective tissue layer. The lack of lining epithelial membrane is common histological feature. The most affected site is between the mandibular canine and third molar. The involvement of the mandibular symphysis is rare. The etiopathogenesis of the TBC is unclear. TBC is treated with surgical exploration and curettage; new bone is formed in place of the lesion within 6 - 12 months of surgery. Diagnosis of TBC prior to surgical intervention has limitations in most of the cases. Both of our patients were diagnosed through radiological examination and biopsy. Neither patient had a history of trauma. After surgery, the panoramic radiograph and CBCT were used to confirm bone healing.

키워드

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