RESUMO
This article describes the clinical and radiographic findings in a patient with unilateral aggressive condylar resorption that was diagnosed as osteoarthritis. We present a comprehensive documentation of the clinical manifestations, the appearance on conventional and advanced imaging, and the histopathologic findings. We discuss the systematic approach to develop a differential diagnosis, with specific emphasis on osteoarthritis and idiopathic condylar resorption. Finally, we also discuss the factors that play a role in management of this condition.
Assuntos
Reabsorção Óssea/diagnóstico , Côndilo Mandibular/patologia , Osteoartrite/diagnóstico , Transtornos da Articulação Temporomandibular/diagnóstico , Adulto , Reabsorção Óssea/patologia , Diagnóstico Diferencial , Progressão da Doença , Humanos , Imageamento por Ressonância Magnética , Masculino , Osteoartrite/patologia , Radiografia Panorâmica , Transtornos da Articulação Temporomandibular/patologiaRESUMO
OBJECTIVE: The aim of this systematic review was to assess the clinical and imaging findings of keratocystic odontogenic tumor (KOT). This article also attempts to determine the prevalence of KOTs and orthokeratinized odontogenic cyst (OOC) in the western Indian population and to compare demographic and radiographic findings of KOT of our cohort with that of the rest of the world. STUDY DESIGN: Relevant publications on KOT were reviewed from the published literature from 1976 to March 2012. Data regarding the 72 additional cases from Mumbai also were analyzed. RESULTS: Sixty-five reports were identified for this systematic review. The findings were divided into 4 global groups for analysis. The prevalence of KOT was 0.0173% and that of OOC 0.0012%. Male sex, mandible, and the unilocular variation were predominant for the additional cases. CONCLUSIONS: The characterization of the KOT lesions was accomplished, taking into consideration the variations to the western Indian population.