Soft tissue calcifications and ossifications: review
Year 2016,
Volume: 33 Issue: 3, 166 - 75, 18.08.2016
Mehmet Özgür Özemre
,
Cansu Köseoğlu Seçgin
,
Ayşe Gülşahı
Abstract
Deposition of the minerals in soft tissue which normally accumulates in bone is known as calcification/ossification. These calcifications are generally asymptomatic and are seen mostly at elder ages. Typically, they are detected as incidental findings during radiographic evaluation. When these calcifications/ossifications are seen, primary purpose is to identify and specify whether treatment is necessary. For differential diagnosis, criteria such as localization, number and shape should be considered, and a thorough knowledge of soft tissue anatomy is essential. Additionally, it is beneficial to detail the anamnesis and the clinical examination, and if necessary, take additional radiographs from different angles or using different techniques. The purpose of this review was to discuss the current literature regarding soft tissue calcifications and ossifications.
References
- Jiang Q, Chen MJ, Yang C, Qiu YT, Tian Z, Zhang ZY, et al. Postinfectious myositis ossificans in medial, lateral pterygoid muscles: A case report and review of the literature. Oncol Lett 2015;9:920-6.
- Boffano P, Zavattero E, Bosco G, Berrone S. Myositis ossificans of the left medial pterygoid muscle: case report and review of the literature of myositis ossificans of masticatory muscles. Craniomaxillofac Trauma Reconstr 2014;7:43–50.
- Kanlı A, Özkan G. Yumuşak dokuda radyoopak görüntü veren lezyonlar. Turkiye Klinikleri J Dental Sci-Special Topics 2010;1:58-65.
- Okabe S, Morimoto Y, Ansai T, Yamada K, Tanaka T, Awano S et al. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dentomaxillofac Radiol 2006;35:191-9.
- Gokce C, Sisman Y, Sipahioglu M. Styloid process elongation or Eagle’s Syndrome: is there any role for ectopic calcification. Eur J Dent 2008;2:224-8.
- O’Bannon RP, Grunow OH. The larynx and pharynx radiologically considered. South Med J 1954;47:310-6.
- Ajmani ML, Jain SP, Saxena SK. A metrical study of laryngeal cartilages and their ossification. Anat Anz 1980;148:42-8.
- Lee JS, Kang BC. Screening panoramic radiographs in a group of patients visiting a Health Promotion Center. Korean J Oral Maxillofac Radiol 2005;35:199-202.
- Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2000;90:108-10.
- Bayram B, Uckan S, Acikgoz A, Muderrisoglu H, Aydinalp A. Digital panoramic radiography: a reliable method to diagnose carotid artery atheromas? Dentomaxillofac Radiol 2006;35:266-70.
- Sisman Y, Ertas ET, Gokce C, Menku A, Ulker M, Akgunlu F. The prevalence of carotid artery calcification on the panoramic radiographs in Cappadocia region population. Eur J Dent 2007;1:132-8.
- Freymiller EG, Sung EC, Friedlander AH. Detection of radiationinduced cervical atheromas by panoramic radiography. Oral Oncol 2000;36:175-9.
- Friedlander AH, Lande A. Panoramic radiographic identification of carotid arterial plaques. Oral Surg Oral Med Oral Pathol 1981;52:102-4.
- Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:e11-7.
- Aspestrand F, Kolbenstvedt A. Calcifications of the palatine tonsillary region: CT demonstration. Radiology 1987;165:479-80.
- Çakur B, Yıldırım E, Demirtaş Ö. Panoramik radyografide tonsil taşı ve karotis arter kalsifikasyonu arasındaki ilişkinin incelenmesi. Atatürk Üniv Diş Hek Fak Derg. 2014;24:1-5.
- Eisenkraft BL, Som PM. The spectrum of benign and malignant etiologies of cervical node calcification. AJR Am J Roentgenol 1999;172:1433-7.
- Shubha AB, Hegde S, Dinesh RB. Tuberculous lymphadenitis presenting a diagnostic dilemma- a case report. Int J Dent Clin 2010;2:48-52.
- Singh A, Rahman H, Kumar V, Anila F. An unusual case of paradoxical enlargement of lymph nodes during treatment of tuberculous lymphadenitis in immunocompetent patient and literature review. Am J Case Rep 2013;14:201-4.
- Ahmad M, Madden R, Perez L. Triticeous cartilage: Prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005;99:225-30.
- Kamikawa RS, Pereira MF, Fernandes A, Meurer MI. Study of the localization of radiopacities similar to calcified carotid atheroma by means of panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2006;101:374-8.
- Keberle M, Robinson S. Physiologic and pathologic calcifications and ossifications in the face and neck. Eur Radiol 2007;17:2103-11.
- Valiyaparambil J, Rengasamy K, Mallya SM. An unusual soft tissue radiopacity – radiographic appearance of a dermal filler. Br Dent J 2009;207:211–2.
- Barrett AP, Waters BE, Griffiths CJ. A critical evaluation of panoramic radiography as a screening procedure in dental practice. Oral Surg Oral Med Oral Pathol 1984;57:673-7.
- Alattar MM, Baughman RA, Collett WK. A survey of panoramic radiographs for evaluation of normal and pathologic findings. Oral Surg Oral Med Oral Pathol 1980;50:472-8.
- Monsour PA, Romaniuk K, Hutchings RD. Soft tissue calcifications in the differential diagnosis of opacities superimposed over the mandible by dental panoramic radiography. Aust Dent J 1991;36:94-101.
- Takahashi A, Sugawara C, Kudoh T, Uchida D, Tamatani T, Nagai H, et al. Prevalence and imaging characteristics of palatine tonsilloliths detected by CT in 2,873 consecutive patients. ScientificWorldJournal 2014;2014:940960.
- Bar T, Zagury A, London D, Shacham R, Nahlieli O. Calcifications simulating sialolithiasis of the major salivary glands. Dentomaxillofac Radiol 2007;36:59-62.
- Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance. AADMRT Currents 2010;2:1-15.
- Centurion BS, Imada TS, Pagin O, Capelozza AL, Lauris JR, Rubira Bullen IR. How to assess tonsilloliths and styloid chain ossifications on cone beam computed tomography images. Oral Dis 2013;19:473-8.
- Friedlander AH, Friedlander IK. Identification of stroke prone patients by panoramic radiography. Aust Dent J 1998;43:51-4.
- Thakur JS, Minhas RS, Thakur A, Sharma DR, Mohindroo NK. Giant tonsillolith causing odynophagia in a child: A rare case report. Cases J 2008;1:50.
- Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med 2014;7:51-6.
- Garg AK, Chaudhary A, Tewari RK, Bariar LM, Agrawal N. Coincidental diagnosis of tuberculous lymphadenitis: a case report. Aust Dent J 2014;59:258-63.
- Carter LC. Soft tissue calcifications and ossifications. White SC, Pharoah MJ, eds. Oral Radiology: Principles and Interpretation. St. Louis, MO: Mosby Elsevier; 2014. p. 524-41.
- Harorlı A. Ağız Diş ve Çene Radyolojisi, 1. baskı. İstanbul: Nobel; 2014.
Yumuşak doku kalsifikasyonları ve ossifikasyonları: derleme
Year 2016,
Volume: 33 Issue: 3, 166 - 75, 18.08.2016
Mehmet Özgür Özemre
,
Cansu Köseoğlu Seçgin
,
Ayşe Gülşahı
Abstract
Normalde kemikte biriken minerallerin yumuşak dokuda birikmesi yumuşak doku kalsifikasyon/ossifikasyonları olarak bilinir. Genellikle asemptomatik olan bu kalsifikasyonlar daha çok ileri yaşta gözlenir. Sıklıkla radyografik değerlendirme sırasında tesadüfen saptanır. Bu tür kalsifikasyon/ossifikasyonlar ile karşılaşıldığında öncelikli amaç, kalsifikasyonu tanımak ve tedavi gerekip gerekmediğini belirlemektir. Doğru tanı için lokalizasyon, sayı, şekil gibi kriterlerin göz önüne alınması ve yumuşak doku anatomisinin iyi bilinmesi gereklidir. Ayrıca hastanın anamnez ve klinik muayenesini detaylandırmak veya gerekli ise farklı açıdan veya farklı teknikle ilave radyograf almak da faydalı olacaktır. Bu derlemenin amacı, yumuşak doku kalsifikasyon/ossifikasyonları konusundaki bilgileri, güncel literatür desteğiyle gözden geçirmektir.
References
- Jiang Q, Chen MJ, Yang C, Qiu YT, Tian Z, Zhang ZY, et al. Postinfectious myositis ossificans in medial, lateral pterygoid muscles: A case report and review of the literature. Oncol Lett 2015;9:920-6.
- Boffano P, Zavattero E, Bosco G, Berrone S. Myositis ossificans of the left medial pterygoid muscle: case report and review of the literature of myositis ossificans of masticatory muscles. Craniomaxillofac Trauma Reconstr 2014;7:43–50.
- Kanlı A, Özkan G. Yumuşak dokuda radyoopak görüntü veren lezyonlar. Turkiye Klinikleri J Dental Sci-Special Topics 2010;1:58-65.
- Okabe S, Morimoto Y, Ansai T, Yamada K, Tanaka T, Awano S et al. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dentomaxillofac Radiol 2006;35:191-9.
- Gokce C, Sisman Y, Sipahioglu M. Styloid process elongation or Eagle’s Syndrome: is there any role for ectopic calcification. Eur J Dent 2008;2:224-8.
- O’Bannon RP, Grunow OH. The larynx and pharynx radiologically considered. South Med J 1954;47:310-6.
- Ajmani ML, Jain SP, Saxena SK. A metrical study of laryngeal cartilages and their ossification. Anat Anz 1980;148:42-8.
- Lee JS, Kang BC. Screening panoramic radiographs in a group of patients visiting a Health Promotion Center. Korean J Oral Maxillofac Radiol 2005;35:199-202.
- Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2000;90:108-10.
- Bayram B, Uckan S, Acikgoz A, Muderrisoglu H, Aydinalp A. Digital panoramic radiography: a reliable method to diagnose carotid artery atheromas? Dentomaxillofac Radiol 2006;35:266-70.
- Sisman Y, Ertas ET, Gokce C, Menku A, Ulker M, Akgunlu F. The prevalence of carotid artery calcification on the panoramic radiographs in Cappadocia region population. Eur J Dent 2007;1:132-8.
- Freymiller EG, Sung EC, Friedlander AH. Detection of radiationinduced cervical atheromas by panoramic radiography. Oral Oncol 2000;36:175-9.
- Friedlander AH, Lande A. Panoramic radiographic identification of carotid arterial plaques. Oral Surg Oral Med Oral Pathol 1981;52:102-4.
- Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:e11-7.
- Aspestrand F, Kolbenstvedt A. Calcifications of the palatine tonsillary region: CT demonstration. Radiology 1987;165:479-80.
- Çakur B, Yıldırım E, Demirtaş Ö. Panoramik radyografide tonsil taşı ve karotis arter kalsifikasyonu arasındaki ilişkinin incelenmesi. Atatürk Üniv Diş Hek Fak Derg. 2014;24:1-5.
- Eisenkraft BL, Som PM. The spectrum of benign and malignant etiologies of cervical node calcification. AJR Am J Roentgenol 1999;172:1433-7.
- Shubha AB, Hegde S, Dinesh RB. Tuberculous lymphadenitis presenting a diagnostic dilemma- a case report. Int J Dent Clin 2010;2:48-52.
- Singh A, Rahman H, Kumar V, Anila F. An unusual case of paradoxical enlargement of lymph nodes during treatment of tuberculous lymphadenitis in immunocompetent patient and literature review. Am J Case Rep 2013;14:201-4.
- Ahmad M, Madden R, Perez L. Triticeous cartilage: Prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005;99:225-30.
- Kamikawa RS, Pereira MF, Fernandes A, Meurer MI. Study of the localization of radiopacities similar to calcified carotid atheroma by means of panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2006;101:374-8.
- Keberle M, Robinson S. Physiologic and pathologic calcifications and ossifications in the face and neck. Eur Radiol 2007;17:2103-11.
- Valiyaparambil J, Rengasamy K, Mallya SM. An unusual soft tissue radiopacity – radiographic appearance of a dermal filler. Br Dent J 2009;207:211–2.
- Barrett AP, Waters BE, Griffiths CJ. A critical evaluation of panoramic radiography as a screening procedure in dental practice. Oral Surg Oral Med Oral Pathol 1984;57:673-7.
- Alattar MM, Baughman RA, Collett WK. A survey of panoramic radiographs for evaluation of normal and pathologic findings. Oral Surg Oral Med Oral Pathol 1980;50:472-8.
- Monsour PA, Romaniuk K, Hutchings RD. Soft tissue calcifications in the differential diagnosis of opacities superimposed over the mandible by dental panoramic radiography. Aust Dent J 1991;36:94-101.
- Takahashi A, Sugawara C, Kudoh T, Uchida D, Tamatani T, Nagai H, et al. Prevalence and imaging characteristics of palatine tonsilloliths detected by CT in 2,873 consecutive patients. ScientificWorldJournal 2014;2014:940960.
- Bar T, Zagury A, London D, Shacham R, Nahlieli O. Calcifications simulating sialolithiasis of the major salivary glands. Dentomaxillofac Radiol 2007;36:59-62.
- Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance. AADMRT Currents 2010;2:1-15.
- Centurion BS, Imada TS, Pagin O, Capelozza AL, Lauris JR, Rubira Bullen IR. How to assess tonsilloliths and styloid chain ossifications on cone beam computed tomography images. Oral Dis 2013;19:473-8.
- Friedlander AH, Friedlander IK. Identification of stroke prone patients by panoramic radiography. Aust Dent J 1998;43:51-4.
- Thakur JS, Minhas RS, Thakur A, Sharma DR, Mohindroo NK. Giant tonsillolith causing odynophagia in a child: A rare case report. Cases J 2008;1:50.
- Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med 2014;7:51-6.
- Garg AK, Chaudhary A, Tewari RK, Bariar LM, Agrawal N. Coincidental diagnosis of tuberculous lymphadenitis: a case report. Aust Dent J 2014;59:258-63.
- Carter LC. Soft tissue calcifications and ossifications. White SC, Pharoah MJ, eds. Oral Radiology: Principles and Interpretation. St. Louis, MO: Mosby Elsevier; 2014. p. 524-41.
- Harorlı A. Ağız Diş ve Çene Radyolojisi, 1. baskı. İstanbul: Nobel; 2014.