Tumors of the Mandible Part 1: Generalities and Principles
Transcript of Tumors of the Mandible Part 1: Generalities and Principles
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
1/28
TUMORS OF THE MANDIBLE
PART I: GENERALITIES AND PRINCIPLES
REYNALDO O. JOSON, M.D.
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
2/28
TABLE OF CONTENTS
Introducton ......................... !O"#$ct%$& ........................... !
R$co''$nd$d Pr$()r)ton .............. * I. An)to'+ ........................
II. Functon& ..................... -
III. Orn o/ M)nd"u0)r Tu'or& .... -
I1. P)t2o0o+ o/ M)nd"u0)r Tu'or& . 3 1. Functon)0 C0)&&/c)ton ...... 4
1I. C0nc)0 E%)0u)ton ............!5A. P2+&c)0 E6)'n)ton
B. R)dor)(2+
C. Bo(&+
1II. Tr$)t'$nt ......................!1III. O($r)t%$ Proc$dur$& ...........!-
A. E6tr()t%$B. R$con&truct%$
I7. To 82o' To R$/$r ...............!9R$/$r$nc$& ...........................!
Po&t;t$&t ............................!4
An&
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
3/28
INTRODUCTION
A &$r$& o/ &$0/;n&tructon)0(ror)'& 2)& "$$n d$&n$d to co%$r )00
)&($ct& n t2$ ')n)$'$nt o/ ()t$nt&u$nc$&
"$t
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
4/28
9.! B$nn odonto$nc tu'or&.
9.* B$nn non;odonto$nctu'or&.
9. M)0n)nt non;odonto$nctu'or&.
. Id$nt/+ t
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
5/28
I. ANATOMY OF THE MANDIBLE
A =no
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
6/28
II. FUNCTIONS OF THE MANDIBLE
A =no
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
7/28
Ho
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
8/28
T)"0$ !. C+&t& o/ t2$ M)nd"0$
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
E(t2$0)0 C+&t&I. Odonto$nc
A. D$%$0o('$nt)0 !. Gn%)0 c+&t& o/ n/)nt&
@d$nt)0 0)'n) c+&t, E(&t$n& ($)r0&,Bo2n& nodu0$&
*. Gn%)0 c+&t& o/ )du0t&
. L)t$r)0 ($rodont)0 c+&t
-. D$nt$rou& @/o00cu0)rc+&t
3. Odonto$nc =$r)toc+&t:n$%od ")&)0 c$00 c)rcno') &+ndro'$
9. C)0c/+n odonto$nc c+&t
B. In/0)'')tor+
!. R)dcu0)r c+&t *. R$&du)0 c+&t
. In/0)'')tor+ 0)t$r)0($rodont)0 c+&t
-. P)r)d$nt)0 c+&tII. Non;odonto$nc @/&&ur)0
A. N)&o()0)tn$ duct @nc&%$
c)n)0 c+&t
B. M$d)n ()0)tn$ )nd '$d)n')nd"u0)r c+&t&
C. N)&o0)")0 @n)&o;)0%$o0)r c+&t
Non;$(t2$0)0 c+&t
I. Tr)u')tc "on$ c+&t @&'(0$,
unc)'$r)0, &o0t)r+, 2$'orr2)c "on$c+&t
II. An$ur+&')0 "on$ c+&t;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Sourc$: Mod/$d )/t$r S2$)r M: C+&t& o/t2$ Or)0 R$on&, *nd $d. Bo&ton:
8r2t;PSG, !4?, (..
9
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
9/28
T)"0$ *. C0)&&/c)ton o/ Odonto$nc
Tu'or&
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;E(t2$0)0 Odonto$nc Tu'or&
Mn')0 nduct%$ c2)n$ nconn$ct%$ t&&u$
!. A'$0o"0)&to') *. Ad$no')tod odonto$nc
tu'or
. C)0c/+n $(t2$0)0
odonto$nc tu'or M)r=$d nduct%$ c2)n$ n
conn$ct%$ t&&u$ !. A'$0o"0)&tc /"ro')
*. A'$0o"0)&tc /"ro&)rco')
. Co'(0$6 odonto')
-. Co'(ound odonto')M$&od$r')0 Odonto$nc Tu'or&
!. M+6o') *. Odonto$nc /"ro')
. C$'$nto') ). P$r)(c)0 c$'$nt)0
d+&(0)&)
". B$nn c$'$nto"0)&to')
c. C$'$nt/+n /"ro') d. F)'0)0 'u0t(0$
@)nt/or' c$'$nto')&;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Sourc$: B)&$d on c0)&&/c)ton o/
Pnd"or )nd C0)u&$n 'od/$d "+ Gor0n
RJ, Go0d')n HM @$d&: T2o')& Or)0P)t2o0o+, 9t2 $d. St. Lou&: T2$ C.1.
Mo&"+ Co., !45.
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
10/28
T)"0$ . Non;odonto$nc Tu'or&
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
B$nn Bon$;/or'n Tu'or& O&t$o')
O&&/+n /"ro') O&t$o"0)&to')
O&t$od o&t$o')
M)0n)nt Bon$;/or'n Tu'or&
O&t$o&)rco')
M)0n)nt C)rt0)nou& Tu'or&
C2ondro&)rco')
Tu'or& o/ F"rou& Conn$ct%$ T&&u$
Orn
D$&'o(0)&tc /"ro') F"ro&)rco')
Tu'or& o/ H&toc+tc )nd
F"ro2&toc+tc Orn M)0n)nt /"rou& 2&toc+to')
H&toc+to&& 7
G)nt C$00 )nd F"ro;o&&$ou& L$&on& C$ntr)0 )nt c$00 r)nu0o')
An$ur+&')0 "on$ c+&t C2$ru"&'
F"rou& d+&(0)&)
Tu'or& )nd Tu'or;0=$ Condton& o/B0ood 1$&&$0& Ar&n n t2$ S=$0$t)0
S+&t$' H$')no') o/ "on$
M&c$00)n$ou&
E
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
11/28
1. FUNCTIONAL CLASSIFICATIONS OF
MANDIBULAR TUMORS
M)nd"u0)r tu'or& c)n "$ c0)&&/$d
nto
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
12/28
T)"0$ -. Functon)0 C0)&&/c)ton o/
M)nd"u0)r Tu'or&;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
B$nn
Odonto$nc Non;odonto$nc
M)0n)nt
Odonto$nc Non;odonto$nc
Pr')r+ S$cond)r+
1I. CLINICAL E1ALUATION
T2$ c0nc)0 $%)0u)ton o/')nd"u0)r tu'or& r$0$& ')n0+ on t2$
/o00o
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
13/28
B. RADIOGRAPHY
To con/r' t2$ ')nd"u0)r orn o/
t2$ tu'or, r)dor)(2+ &2ou0d "$ don$.T2$r$ )r$ tu$
%$
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
14/28
T2$ r)dor)(2 ')+ &2o< r$()r)t%$
c2)n$& &u$&t%$ o/ )n n/0)'')tor+0$&on. It ')+ &2o< &$>u$&tru'
&u$&t%$ o/ o&t$o'+$0t&.
T2$ r)dor)(2 ')+ &2o< 0+tcc2)n$& &u$&t%$ o/ ) ')0n)nc+. It
')+ &2o< &un;"ur&t )(($)r)nc$ &u$&t%$
o/ o&t$o&)rco').
L)&t0+, t2$ r)dor)(2 ')+ &2ou$nc+ o/ t2$ /o00o
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
24/28
DIRECTION: Su((0+ t2$ )((ro(r)t$
)n&
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
25/28
33. N)'$ t2$ ndc)ton /or ) "o(&+
o/ ) ')nd"u0)r tu'or. 33.
39. Indc)t$ to
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
26/28
TUMORS OF THE MANDIBLE
PART I: GENERALITIES AND PRINCIPLES
ANS8ERS TO POST;TEST
!. Cond+0od (roc$&&
*. Coronod (roc$&&
. A&c$ndn r)'u& -. A0%$o0)r (roc$&&$& or rd$&
3. M$ntu' 9. Bod+
. An0$ o/ t2$ ')nd"0$
?. B$nn
4. M)0n)nt !5. Odonto$nc or non;odonto$nc
!!. Non;odonto$nc or odonto$nc !*. Odonto$nc
!. Non;odonto$nc !-. Pr')r+
!3. S$cond)r+
!9. E
!. D !?. B
!4. A *5. C
*!. F
**. G
*. A *-. B
*3. A *9. A
*. A *?. A
*4. A
5. A
*-
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
27/28
-
7/25/2019 Tumors of the Mandible Part 1: Generalities and Principles
28/28
RECOMMENDED FOLLO8;UP
A/t$r co'(0$tn t2& &$0/;
n&tructon)0 (ror)', t2$ u&$r &)d%&$d to d&cu&& t2& (ror)'