Yıl: 2022 Cilt: 28 Sayı: 2 Sayfa Aralığı: 291 - 298 Metin Dili: İngilizce DOI: 10.5336/dentalsci.2021-84346 İndeks Tarihi: 15-06-2022

Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study

Öz:
: It was aimed to retrospectively evaluate the soft tissue calcifications (STCs) in cone-beam computed tomography (CBCT) images. Material and Methods: CBCT images (Planmeca Romexis®, 3D Mid Planmeca Oy, Helsinki, Finland) of 1,566 patients (54.2% females; 45.8% males) were collected from the database of Department of Dentomaxillofacial Radiology. The hyperdense masses were examined. Patients with head and neck trauma or a history of surgery were excluded. If present, soft tissue calcifications were classified according to type, locations, distribution, age, and gender using descriptive statistics and chi-square tests. Results: Of the 1,566 patients, 390 (24.9 %) showed calcifications. The mean age of these patients was 47.3±16.1. The frequency of STCs was 48.7% in males and 51.3% in females. Tonsilloliths (53.6 %) were found to be common, followed by ossified stylohyoid ligament (29.5%), pineal gland calcification (3.6%) and sialolith (2.8%). No statistically significant differences were recorded between genders (p>0.05). STCs were detected either bilaterally (51.1%) or unilaterally (48.9%). The frequency of the STCs according to age groups: Tonsillolith was seen mostly in individuals older than 55-year-old (40.7%), whereas ossified stylohyoid ligament was seen in patients younger than 35-year-old (36.5%). Conclusion: STCs may often be incidentally diagnosed on CBCT images. Clinicians should recognize the characteristics of STCs, particularly regarding early diagnoses of certain systemic diseases.
Anahtar Kelime:

Konik Işınlı Bilgisayarlı Tomografide Rastlantı Bulgusu Olarak Görülen Yumuşak Doku Kalsifikasyonları: Bir Retrospektif Çalışma

Öz:
Bu araştırmada konik ışınlı bilgisayarlı tomografi (KIBT) görüntülerinde rastlantı bulgusu olarak görülen yumuşak doku kalsifikasyonlarının retrospektif olarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Ağız, Diş ve Çene Radyolojisi ABD’nin arşivinde yer alan, Planmeca Promax 3D Mid ile alınmış (Planmeca Oy, Helsinki, Finlandiya) KIBT görüntülerinde (n=1.566, %54,2 kadın; %45,8 erkek) hiperdens olan kitlelerin varlığı retrospektif olarak incelenmiştir. Baş ve boyun travması veya operasyon hikâyesi olan hastalar çalışma dışı bırakılmıştır. Yumuşak doku kalsifikasyonları sınıflandırılarak, kalsifikasyonların çeşitleri, lokasyon ve dağılımları, yaş ve cinsiyetler arası farklar açısından betimleyici istatistiksel ve kikare testleri ile değerlendirilmiştir. Bulgular: Bin beş yüz altmış altı hastanın (yaş ortalamaları 47,3±16,1) 390’ında (%24,9) yumuşak doku kalsifikasyonuna rastlanmıştır. Yumuşak doku kalsifikasyonu sıklığı erkeklerde %48,7, kadınlarda %51,3 olup, en yaygın görülen kalsifikasyon ise tonsilit (%53,6) olarak tespit edilmiştir. Bunu styloid ligament ossifikasyonu (%29,5), epifiz bezi kalsifikasyonu (%3,6) ve siyalolit (%2,8) takip etmiştir. Cinsiyetler arasında istatistiksel olarak anlamlı farklılık saptanmamıştır (p>0,05). Yumuşak doku kalsifikasyonlarının %51,1’i bilateral, %48,9’u tek taraflı olarak tespit edilmiştir. Tonsilit en çok 55 yaş üstü bireylerde (%40,7), ossifiye styloid ligament ise 35 yaşından küçük hastalarda (%36,5) görülmüştür. Sonuç: KIBT görüntülerinde yumuşak doku kalsifikasyonları sıklıkla rastlantı bulgusu olarak izlenebilmektedir. Klinisyenlerin, erken tanı açısından sistemik hastalıklarla ilgili yumuşak doku kalsifikasyonları hakkında bilgi sahibi olmaları ve tanımaları gerekmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Carter LC. Soft Tissue Calcification and Ossification. White SC, Pharoah MJ, eds. Oral Radiology: Principles and Interpretation. 6th ed. St. Louis, Mo: Elsevier; 2009. p.526-40. [Link]
  • 2. 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(1):51-6. [PubMed] [PMC]
  • 3. 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(1):50. [Crossref] [PubMed] [PMC]
  • 4. Keberle M, Robinson S. Physiologic and pathologic calcifications and ossifications in the face and neck. Eur Radiol. 2007;17(8): 2103-11. [Crossref] [PubMed]
  • 5. Howerton WB Jr, Mora MA. Use of conebeam computed tomography in dentistry. Gen Dent. 2007;55(1):54-7;quiz 58, 79-80. [PubMed]
  • 6. 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(2):94-101. [Crossref] [PubMed]
  • 7. Ribeiro A, Keat R, Khalid S, Ariyaratnam S, Makwana M, do Pranto M, et al. Prevalence of calcifications in soft tissues visible on a dental pantomogram: a retrospective analysis. J Stomatol Oral Maxillofac Surg. 2018; 119(5): 369-74. [Crossref] [PubMed]
  • 8. da Silva Nunes LF, Santos KCP, Junqueira JLC, Oliveira JX. Prevalence of soft tissue calcifications in cone beam computed tomography images of the mandible. Rev Odonto Cienc. 2010;26(4):297-303. [Crossref]
  • 9. Missias EM, Nascimento E, Pontual M, Pontual AA, Freitas DQ, Perez D, et al. Prevalence of soft tissue calcifications in the maxillofacial region detected by cone beam CT. Oral Dis. 2018;24(4):628-37. [Crossref] [PubMed]
  • 10. Khojastepour L, Haghnegahdar A, Sayar H. Prevalence of Soft Tissue Calcifications in CBCT Images of Mandibular Region. J Dent Shiraz Univ Med Sci. 2017;18(2):88-94. [PMC]
  • 11. Patil SR, Alam MK, Moriyama K, Matsuda S, Shoumura M, Osuga N. 3D CBCT assessment of soft tissue calcification. J Hard Tissue Biol. 2017;26(3):297-300. [Crossref]
  • 12. Yalcin ED, Ararat E. Prevalence of soft tissue calcifications in the head and neck region: a cone-beam computed tomography study. Niger J Clin Pract. 2020;23(6):759-63. [Crossref] [PubMed]
  • 13. Icoz D, Akgunlu F. Prevalence of detected soft tissue calcifications on digital panoramic radiographs. SRM J Res Dent Sci. 2019;10(1):21-5. [Crossref]
  • 14. Kurşun Çakmak EŞ, Bayrak S, Atakan C. Prevalence and characteristics of soft tissue calcifications in Cbct images of mandibular region. Clin Exp Heal Sci. 2020;1(4):68-71. [Crossref]
  • 15. Mısırlıoglu M, Nalcaci R, Adisen MZ, Yardımcı S. Bilateral and pseudobilateral tonsilloliths: three dimensional imaging with cone-beam computed tomography. Imaging Sci Dent. 2013;43(3):163-9. [Crossref] [PubMed] [PMC]
  • 16. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80. [PubMed]
  • 17. Yeşilova E, Bayrakdar İŞ. Radiological evaluation of maxillofacial soft tissue calcifications with cone beam computed tomography and panoramic radiography. International Journal of Clinical Practice. 2021;75(5):e14086. [Crossref] [PubMed]
  • 18. Ozdede M, Akay G, Karadag O, Peker I. Comparison of panoramic radiography and cone-beam computed tomography for the detection of tonsilloliths. Med Princ Pract. 2020;29(3): 279-84. [Crossref] [PubMed] [PMC]
  • 19. Altındağ A, Avsever H, Borahan O, Akyol M, Orhan K. Incidental findings in cone-beam computed tomographic images: calcifications in head and neck region. Balk J Dent Med. 2017; 1(2):100-7. [Crossref]
  • 20. 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. Sci World J. 2014;2014:4-8. [Crossref] [PubMed] [PMC]
  • 21. Öztaş B, Orhan K. Investigation of the incidence of stylohyoid ligament calcifications with panoramic radiographs. J Investig Clin Dent. 2012;3(1):30-5. [Crossref] [PubMed]
  • 22. Sedghizadeh PP, Nguyen M, Enciso R. Intracranial physiological calcifications evaluated with cone beam CT. Dentomaxillofac Radiol. 2012;41(8):675-8. [Crossref] [PubMed] [PMC]
  • 23. Barghan S, Tahmasbi Arashlow M, Nair MK. Incidental findings on cone beam computed tomography studies outside of the maxillofacial skeleton. Int J Dent. 2016;2016:9196503. [Crossref] [PubMed] [PMC]
  • 24. Allareddy V, Vincent SD, Hellstein JW, Qian F, Smoker WR, Ruprecht A. Incidental findings on cone beam computed tomography images. Int J Dent. 2012;2012:871532. [Crossref] [PubMed] [PMC]
  • 25. Pette GA, Norkin FJ, Ganeles J, Hardigan P, Lask E, Zfaz S, et al. Incidental findings from a retrospective study of 318 cone beam computed tomography consultation reports. Int J Oral Maxillofac Implants. 2012;27(3):595-603. [PubMed]
  • 26. Odell EW, Cawson RA. Cawson's essentials of oral pathology and oral medicine. 9th ed. Edinburgh: Elsevier; 2017. p.341. [Link]
  • 27. Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg. 1990;19(3):135-8. [Crossref] [PubMed]
  • 28. Cho BH, Jung YH, Hwang JJ. Maxillary antroliths detected by cone-beam computed tomography in an adult dental population. Imaging Sci Dent. 2019;49(1):59-63. [Crossref] [PubMed] [PMC]
  • 29. Harorlı A. Ağız, Diş ve Çene Radyolojisi. 1. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2014. [Link]
  • 30. Pekince A, Azlağ Pekince K, Çağlayan F, Sümbüllü MA. Determination of frequency of osteoma cutis in maxillofacial region by dental volumetric tomography. Turkiye Klinikleri J Dental Sci. 2019;25(3):248-53. [Crossref]
  • 31. MacDonald D, Chan A, Harris A, Vertinsky T, Farman AG, Scarfe WC. Diagnosis and management of calcified carotid artery atheroma: dental perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(4):533-47. [Crossref] [PubMed]
APA Bayramov N, Usdat Ozturk A, Ercalik Yalcinkaya S (2022). Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. , 291 - 298. 10.5336/dentalsci.2021-84346
Chicago Bayramov Nuran,Usdat Ozturk Asel,Ercalik Yalcinkaya Sebnem Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. (2022): 291 - 298. 10.5336/dentalsci.2021-84346
MLA Bayramov Nuran,Usdat Ozturk Asel,Ercalik Yalcinkaya Sebnem Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. , 2022, ss.291 - 298. 10.5336/dentalsci.2021-84346
AMA Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. . 2022; 291 - 298. 10.5336/dentalsci.2021-84346
Vancouver Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. . 2022; 291 - 298. 10.5336/dentalsci.2021-84346
IEEE Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S "Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study." , ss.291 - 298, 2022. 10.5336/dentalsci.2021-84346
ISNAD Bayramov, Nuran vd. "Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study". (2022), 291-298. https://doi.org/10.5336/dentalsci.2021-84346
APA Bayramov N, Usdat Ozturk A, Ercalik Yalcinkaya S (2022). Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, 28(2), 291 - 298. 10.5336/dentalsci.2021-84346
Chicago Bayramov Nuran,Usdat Ozturk Asel,Ercalik Yalcinkaya Sebnem Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi 28, no.2 (2022): 291 - 298. 10.5336/dentalsci.2021-84346
MLA Bayramov Nuran,Usdat Ozturk Asel,Ercalik Yalcinkaya Sebnem Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, vol.28, no.2, 2022, ss.291 - 298. 10.5336/dentalsci.2021-84346
AMA Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi. 2022; 28(2): 291 - 298. 10.5336/dentalsci.2021-84346
Vancouver Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi. 2022; 28(2): 291 - 298. 10.5336/dentalsci.2021-84346
IEEE Bayramov N,Usdat Ozturk A,Ercalik Yalcinkaya S "Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study." Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, 28, ss.291 - 298, 2022. 10.5336/dentalsci.2021-84346
ISNAD Bayramov, Nuran vd. "Incidental Soft Tissue Calcifications in Cone-Beam Computed Tomography Images: A Retrospective Study". Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi 28/2 (2022), 291-298. https://doi.org/10.5336/dentalsci.2021-84346