Evaluation of Maxillofacial Soft Tissue Calcifications in Edentulous Patients on Panoramic Radiographs

Yıl 2023, Cilt: 6 Sayı: 2, 103 - 113, 31.08.2023

Ali Altındağ , Ayşe Hanne Cora

https://doi.org/10.47141/geriatrik.1292936

Öz

Aim: It is aimed to evaluate the prevalence, and types of soft tissue calcifications (STCs) on panoramic radiographs of edentulous patients.

Material and Methods: 1308 images were randomly selected from patients who applied to Necmettin Erbakan University for various dental problems in 2020 and 2021. In these radiographs, tonsillolith, sialolith, calcified atherosclerotic plaque (CAP), and stylohyoid ligament calcification (SLC), calcified lymph node, phleboliths, antroliths, rhinoliths, and triticeous and thyroid cartilage calcifications were evaluated. Data were categorized according to gender, systemic disease and calcification type. Descriptive statistics were determined for all parameters. The status of the data according to gender, age group and systemic disease were analyzed by chi-square test (p<0.05).

Results: Soft tissue calcifications was found in 478 (36.6%) of 1308 patients. Calcified atherosclerotic plaque was detected in 30.4%, stylohyoid ligament calcification in 27.0%, calcified lymph node in 16.1%, tonsillolith in 15.4%, tritiseous cartilage calcification in 12.3%, sialolith in 0.5%, arteriosclerosis in %0.3 of patients. There was a significant difference when soft tissue calcifications are evaluated according to age groups (p<0.05). However, there was no difference in the appearance of soft tissue calcifications based on gender or systemic disease (p>0.05).

Conclusion: Calcified atherosclerotic plaque and stylohyoid ligament calcification were detected most frequently, and sialolith and atherosclerosis were detected least on panoramic radiography. Physicians should be able to recognize incidentally detected soft tissue calcifications during radiographic examination and distinguish them from normal anatomical structures and pathologies in the relevant region.

Anahtar Kelimeler

calcification, edentulous, elderly, panoramic, soft tissue

Dişsiz Hastaların Panoramik Radyograflarında Yumuşak Doku Kalsifikasyonlarının Değerlendirilmesi

Öz

Amaç: Dişsiz hastaların panoramik radyografilerinde yumuşak doku kalsifikasyonlarının prevalansını ve tiplerini değerlendirmek amaçlanmıştır.

Gereç ve Yöntemler: 2020 ve 2021 yıllarında kliniğimize çeşitli diş problemleri için başvuran hastalardan rastgele seçilen 1308 görüntüde tonsillolit, sialolith, kalsifiye aterosklerotik plak, stylohyoid ligament kalsifikasyonu, kalsifiye lenf nodu, flebolit, antrolit, rinolit, tritiköz ve tiroid kıkırdak kalsifikasyonları değerlendirildi. Veriler cinsiyet, sistemik hastalık ve kalsifikasyon tipine göre kategorize edildi. Tüm parametreler için tanımlayıcı istatistikler belirlendi. Verilerin cinsiyet, yaş grubu ve sistemik hastalığa göre durumu ki-kare testi ile analiz edildi (p<0,05).

Bulgular: 1308 hastanın 478’inde (%36,6) yumuşak doku kalsifikasyonu saptandı. Hastaların %30,4’inde kalsifiye aterosklerotik plak, %27,0’sinde stylohyoid ligament kalsifikasyonu, %15,4’ünde tonsillolit, %13,9’unda kalsifiye lenf nodu, %12,3’ünde tritisöz kıkırdak kalsifikasyonu, %0,5’inde sialolit, %0,3’ünde arterioskleroz tespit edildi. Yaş gruplarına göre yumuşak doku kalsifikasyonları değerlendirildiğinde istatistiksel olarak anlamlı fark olduğu gözlendi (p<0,05). Ancak yumuşak doku kalsifikasyonları varlığı ile cinsiyet veya sistemik hastalık arasında fark tespit edilmedi (p>0,05).

Sonuç: Panoramik radyografide en sık kalsifiye aterosklerotik plak ve stylohyoid ligament kalsifikasyonu, en az sialolith ve ateroskleroz tespit edildi. Hekimler tesadüfen saptanan yumuşak doku kalsifikasyonlarını radyografik muayene sırasında tanıyabilmeli ve ilgili bölgedeki normal anatomik yapılardan ve patolojilerden ayırt edebilmelidir.

Anahtar Kelimeler

kalsifikasyon, panoramik, yumuşak doku, yaşlı

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