qog nqaij hlav tuaj yeem ua rau mob hnyav lossis mob hnyav. Thawj hom muaj feem cuam tshuam rau tib neeg lub neej. Nws tsis tshwm sim rau xyoo, tab sis nws tseem ua rau muaj kev puas tsuaj rau imperceptible. Cov qog nqaij hlav loj hlob sai heev thiab muaj peev xwm txav mus tsis tau rau cov kab mob nyob ze, tab sis kuj rau cov uas nyob deb txaus. Qhov no tshwm sim vim metastasis. Yog tsis kho, tus neeg yuav tuag.
Thaum cov qog tsim ntawm lub puab tsaig, qhov tseem ceeb yog txhawm rau txheeb xyuas lub sijhawm seb nws yog neoplasm. Hauv 4% ntawm tag nrho cov teeb meem zoo sib xws, osteoma ntawm lub puab tsaig raug kuaj pom. Cov kev kawm zoo li no yog qhov zoo. Nws yog suav hais tias yog ib tug complex pathology. Yuav kho tau? Nws yog ib qho tsim nyog yuav tau mus rau kev kho mob complex. Feem ntau tus neeg mob raug xa mus rau ntau tus kws kho mob ntawm ntau qhov tshwj xeeb. Kev cuam tshuam ntawm kws kho hniav, oncologist, kws phais yuav tsum tau. Nyob rau hauv cov ntaub ntawv ntawm cov teeb meem, nws yog tsim nyog los mus rau kev pab los ntawm ib tug neurosurgeon,otolaryngologist thiab kws kho qhov muag tshwj xeeb.
Problem description
Qhov teeb meem no tsis siv rau odontogenic pathology. Hauv lwm lo lus, nws tsis yog qhov teeb meem ntawm cov kab mob hniav. Ib qho neoplasm tuaj yeem tsim rau ntawm lub puab tsaig. Nws tuaj yeem cuam tshuam rau ob qho tib si ib thiab ob pob txha. Feem ntau, osteoma ntawm lub puab tsaig raug kuaj pom hauv cov neeg laus.
Qhov teeb meem muab faib ua ntau hom nyob ntawm qhov xwm.
- Muaj lub hauv nruab nrab osteoma. Nws nyob tob hauv cov pob txha.
- Peripheral kuj paub. Feem ntau nyob ntawm ntug. Nyob rau hauv ib txoj kev sib txawv, xws li formations hu ua exostases.
qog hlav qeeb. Nws tsis ua mob rau yuav luag txhua tus neeg mob. Yog tias kev kawm nyob hauv qhov chaw, tus neeg mob tsis muaj kev tsis txaus siab nrog nws. Raws li txoj cai, nyob rau hauv xws li mob, ib tug osteoma ntawm lub puab tsaig yog pom heev los ntawm kev huam yuaj. Piv txwv li, thaum lub sij hawm ib txwm kuaj los yog kho lwm yam kab mob.
Osteoma yog tsim los ntawm cov ntaub so ntswg paub tab. Cov qauv ntawm kev kawm yuav ua tau ob qho tib si compact thiab spongy. Nyob rau tib lub sijhawm, cov qog loj hlob mus rau qhov loj me. Vim li no, ntau yam teeb meem neurological tshwm sim. Yog hais tias lub qog nyob rau ntawm tus txheej txheem condylar, ces ntawm qhov tshwm sim ib tug tuaj yeem tawm ntawm kev ua txhaum ntawm lub puab tsaig sab hauv. Tsis tas li ntawd, qee zaum qhov teeb meem ua rau muaj teeb meem ntawm qhov muag thiab qhov ntswg. Yog hais tias cov qog tau loj hlob mus rau qhov loj, ces lub ntsej muag yuav deformed.
Ntau yam ntawm pathology
Osteoma ntawm lub puab tsaig txawv ntawm cov qauv, nrog rau hauvnws loj hlob li cas. Yog li ntawd, peb yuav tso tawm ob peb hom qog.
- Compact. Nws muaj lub hauv paus loj lossis ceg. Kev kawm dav dav heev.
- Tubular. Lub qog yog spherical. Cov ntaub so ntswg tsis txawv ntawm cov qauv ntawm lub puab tsaig noj qab haus huv.
- Txoj kev sib hlub. Nws muaj ciam teb ntshiab, yog li nws yooj yim pom tawm tsam keeb kwm ntawm cov pob txha.
Yog vim li cas thiaj pom
Tam sim no, cov kws kho mob tseem tsis tuaj yeem txheeb xyuas qhov tseeb thiab qhov tshwm sim ntawm qhov teeb meem no. Txawm li cas los xij, qee cov qauv ntawm nws qhov tshwm sim tau raug tsim. Piv txwv li, cov neeg uas muaj osteoma yav dhau los tau raug mob lub puab tsaig. Nrog kev raug mob mus tas li rau ntawm qhov ncauj kab noj hniav, txoj hauv kev ntawm kev tsim cov qog nce ntxiv. Tsis tas li ntawd, qhov teeb meem yog tshwm sim los ntawm tartar, irregularly zoo li cov hniav hniav, cov seem seem ntawm cov hniav, tsis zoo tso fillings, thiab hais txog.
Cov txheej txheem mob kis tau raug xa mus rau qhov ua rau muaj qhov tshwm sim. Peb tab tom tham txog sinusitis, periostitis, chronic periodontitis thiab hais txog.
Nws yuav tsum tau muab sau tseg tias txawm hais tias osteoma ntawm lub puab tsaig, daim duab uas tau muab rau hauv tsab xov xwm, tsis yog ib qho teeb meem tshwm sim los ntawm kev loj hlob ntawm cov kab mob ntawm cov hniav, txawm li cas los xij, cov yam ntxwv no raug xa mus rau qhov ua rau muaj kev cuam tshuam. Qee lub sij hawm tus qog yog provoked los ntawm txawv teb chaws lub cev nyob rau hauv lub maxillary sinuses.
Symptomatics
Cov qog nws tus kheej tsis coj qhov tsis xis nyob mus txog thaum nws ncav cuag qhov loj. Vim qhov loj me, muaj qhov siab ntawm cov hlab ntsha. Nws intensifies lub sij hawm raws lineoplasm tseem loj tuaj. Teeb meem ntawm lub puab tsaig txav yog lwm qhov tshwm sim.
Kev tsim loj tsis tsuas yog ua rau muaj teeb meem nrog kev ua haujlwm ntawm cov pob txha, tab sis kuj ua rau lawv deformation, malocclusion thiab pom lub ntsej muag symmetry.
Yog hais tias ib qho osteoma nyob rau ntawm lub puab tsaig qis pib ua rau lub siab ntawm lub coronary lossis condylar junction, nws yuav nyuaj rau tus neeg mob qhib nws lub qhov ncauj. Cov qog tsis cuam tshuam rau cov xim ntawm cov mucous daim nyias nyias, thiab tseem tsis loj hlob ua ke nrog cov nqaij mos noj qab haus huv. Abscesses thiab suppurations tsis tsim nyob rau hauv osteoma, uas ua rau nws yooj yim kawm.
Diagnosis
Nrog rau kev kuaj sab nraud thiab palpation, nws tsis tuaj yeem tau txais daim duab tiav ntawm neoplasm. Yog li ntawd, tus neeg mob raug hais kom coj x-ray. Feem ntau muaj kev xa mus rau suav tomography tau muab.
Hauv daim duab, osteoma zoo li ib qho tsaus nti puag ncig lossis elliptical qhov chaw. Qee zaum hauv daim duab koj tuaj yeem pom qhov kev txiav txim ntawm cov hauv paus hniav ntawm cov qog. Hauv qhov no, kev kuaj mob ntawm tus kab mob tuaj yeem tsis meej pem nrog odontoma. Yog hais tias tus tsim yog spongy, ces darkening yog heterogeneous. Cov qog peripheral muaj qhov pom tseeb.
Thaum kuaj mob, koj yuav tsum nkag siab yog tias muaj cov kab mob hauv qab no:
- hyperostosis;
- xiav pob zeb deposits;
- odontoma.
Osteoid tuaj yeem tshwm sim qee zaum. Osteoma ntawm lub puab tsaig tuaj yeem ua rau cov kab mob sab nraud uas nws yooj yim rau confuse cov kab mob piav qhia.
kho mob qog
Yuav tsumnco ntsoov qhov tseeb tias cov qog tsuas yog kho los ntawm kev phais xwb. Tom qab kev kuaj mob, thaum lub sij hawm qhov chaw ntawm qhov teeb meem raug txheeb xyuas, ib qho kev ua haujlwm raug muab. Nws yooj yim thiab ceev.
Tom qab tshem cov osteoma ntawm lub puab tsaig, ib tug neeg yuav muaj kev tsis haum tshuaj pleev ib ce. Yog li ntawd, yuav tsum tau phais yas. Hauv cov txheej txheem, cov ntaub so ntswg uas tau muab tshem tawm thaum lub sij hawm kho cov qog yuav rov qab los.
Ntau zaus ua haujlwm dhau ntawm qhov ncauj. Nws yog ib qho tsim nyog yuav tau ua ib qho kev txiav uas yuav tso cai rau kev nkag mus rau kev kawm. Tom qab ntawd, cov pinholes raug tsim thiab cov qog raug tshem tawm siv lub cuab yeej tshwj xeeb. Tom ntej no, koj yuav tsum tau zom cov pob txha thiab sew li incision.
Yog tias osteoma nyob rau hauv daim ntawv siab, ces nws yuav ua rau mob tas li, teeb meem ntawm lub ntsej muag thiab yuav tsum tau kho lub sijhawm ntev tom qab kho. Txoj kev kho tau zoo tshaj plaws yuav yog qhov muab tam sim tom qab thawj cov tsos mob tshwm sim.
YOsteoid osteoma
Tej zaum tshwm sim vim qee qhov ua rau osteoma ntawm lub puab tsaig ntawm hom osteoid. Txawm li cas los xij, qhov teeb meem no tsis tshua muaj tshwm sim. Nws feem ntau kuaj pom muaj hnub nyoog 5 txog 35 xyoos. Cov txiv neej muaj kev pheej hmoo. Cov qog muaj cov qauv xoob. Nws cov ntaub yog liab los yog liab-grey. Nyob rau tib lub sijhawm, cov fibers uas tsim cov txheej txheem tig mus rau hauv cov pob txha yas. Vim yog cov qauv ntawm cov qog, nws pom meej meej ntawm x-ray. Nws bezel yog heev ntom. Raws li tus kab mob no zuj zus, nws thickness pib nce. Tsis muaj rog lossis lwm cov hlwb hauv cov qog. Txawm li cas los xij, cov qe ntshav dawb tau pom hauv qee tus neeg mob.
zoo li osteoma ntawm lub puab tsaig qis, daim duab uas muaj nyob rau hauv tsab xov xwm, yog tshwm sim los ntawm qhov mob paroxysmal. Qee zaum qhov tsis xis nyob tsis txo qis. Nws tsuas yog intensifies thaum hmo ntuj. Nyob rau hauv cov xwm txheej uas cov qog nyob rau hauv lub periosteum, ces periostitis tshwm sim.
Yuav kom kuaj tau hom qog no, xav tau x-ray. Thaum lub sijhawm keeb kwm noj, ntau cov kev tshawb fawb ntxiv yuav tsum tau ua kom paub qhov txawv ntawm qhov teeb meem no los ntawm osteoma thiab sarcoma.
Kev kho mob tsuas yog ua los ntawm kev phais xwb. Hauv cov xwm txheej zoo, tus kws kho mob yuav tsum tshem tawm ib feem ntawm cov pob txha cuam tshuam. Yog tias cov qog tsis raug tshem tawm tag nrho, ces nws tuaj yeem rov zoo dua. Yog li ntawd, nws yog ib qho tseem ceeb kom tshem tawm tag nrho cov kab mob pathological.
Results
Ntau zaus hauv ib xyoos nws yog ib qho tsim nyog yuav tsum tau mus kuaj xyuas txhua hnub ntawm tus kws kho hniav. Nco ntsoov ua x-rays thiab kho ntau yam kab mob. Tom qab ntawd koj tuaj yeem tiv thaiv kev txhim kho ntawm qhov teeb meem hauv lub sijhawm thiab tshem tawm yam tsis muaj teeb meem.
