12/21/20151 Jalal Jalal Shokouhi-M.D. ISR, Jam-e-Jam,Kourosh medical imaging center...
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Transcript of 12/21/20151 Jalal Jalal Shokouhi-M.D. ISR, Jam-e-Jam,Kourosh medical imaging center...
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Jalal Jalal Shokouhi-M.D.
ISR, Jam-e-Jam,Kourosh medical imaging center
25 year imaging of Mandible
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Infla. Poriodontal OsteoradionecrosisInfe. Root abscess Osteomyelitis
Fibro osseaus lesions Fibrous dysplasia Ossifying fibroma Paget disease
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Benign odotogenic tumors Ameloblastoma Odontoma Cemetoblastoma
Benign non odontogenic Tu. Exostosis, Osteoma, Osteochondroma, Chondroma, Synovial chondromatosis, Giant cell lessions
Malignant Tu. O.S ,E.S , Non-Hodgkin lymphoma Burkit L. , M.M , Leukemia , Langerhanss cell histiocytosis
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Anatomy-based imaging issues
F.X : CT Axial- CoronalMd is a ring -Find 1 F.X, search for a 2nd
-If no 2nd F.X , check TMJ dislocation
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Tumor :
Erosion from oral or nasopha.
Stage 4 Scca V3 perineural tumors :
chin, Md , checking : inf. Alveolar canal, Md foramen , Masticator space , Foramen oval , Meckle cave
Infection CECT
TMJ= MRI open-closed mouth, CT for F.X
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Condyle, Coronoid , Notch, Md foramen, Inf.alveolar Nerve, Mandibular V3 Mental foramen,Mental nerve, Vessels Mandibular canal
Mx= Maxilla Md=
Mandible
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DDx: Mandibular Fracture Mimics
Lingula Alveolar canal
Nutrient canal Mental foramen
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AMELOBLASTOMA, MANDIBLE-MAXILLA
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DDx: Cystic Mandible-Maxilla
Root abscess
Dentigerous Cyst
Odontogen. Keracyst
Fibrous Dysplasia
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Osteosarcoma, Mandible-Maxilla
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Aggressive Mandibular Lesion
MetastasesAmeloblastoma
Tooth Abscess
Comminuted Fx
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Burkitt Lymphoma,Mandible-Maxilla
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DDx: Mandibular Mass
Dentigerous Cyst
Metastasis
Ameloblastoma
Osteosarcoma
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DDx: Lucent Lesioncof Mandible or Maxilla
Periodontal Disease
Ameloblastoma
Dentigerous Cyst
Odontogen. Keratocyst
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DENTIGEROUS CYST, MANDIBLE-MAXILLA
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DDx: Cystic Mandibular Lesion
Radicular cyst
Metastasis
Odontogen. Keracyst
Ameloblastoma
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Thank you
for your attention