By Mervyn Shear
Cysts of the Oral and Maxillofacial areas is a seminal textual content for these operating in oral pathology, oral medication, oral & maxillofacial surgical procedure and radiology. This fourth version displays advances in immunohistochemistry, molecular biology and human genetics, that have contributed to the certainty of the etiology, pathogenesis, pathology and remedy of those lesions.
This booklet is a accomplished treatise on cysts taking place within the oral and maxillofacial areas, protecting medical good points, epidemiology, radiology, pathogenesis and pathology.
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Conventional CT and reformatted helical CT images at bone window settings’ showed features additional to those visualised in panoramic views. These included ‘the extent of the lesions within the mandibular ramus, coronoid process, palate, extension into the maxillary and ethmoid sinuses and the nasal fossa, floor of the orbit, scalloping of the margins, internal spiculation, and small crevices involving the peripheral cortex of the lesions. . , 2003). On what are termed T1-weighted images, OKCs imparted hypointense to isointense signals to muscle.
This has still to be resolved, but there is the possibility that in view of the OKC’s reputation for aggressive behaviour, workers in the field may have been more likely to report malignant changes in OKCs than in other jaw cysts. Some DNA, viral and other laboratory studies attempted to address the question. Using techniques that allowed flow cytometry to be performed on tissue stored in paraffin wax, High et al. (1987) examined the DNA content of cells from an OKC that underwent epithelial dysplasia and malignant transformation.
Data obtained by the Board indicated that CT scans, at the time of their study, accounted for at least 20% of the total effective dose of diagnostic radiation to the population, and the working party suggested that radiologists should 27 be informed of the ‘high-dose implications’ of CT scans. Wherever possible, it was suggested, doctors should use the alternatives to X-ray, mainly ultrasound and MRI. Ferreira et al. (2004) suggested an interesting technique to distinguish OKCs from solitary bone cysts (SBC) of the mandible by identifying their contour and pixel grey levels in digitised panoramic radiographs of 32 SBCs and 20 OKCs.