RADIOGRAPHIC ANALYSIS OF OSSEOUS CHANGES IN ORAL SQUAMOUS CELL CARCINOMA
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 1, Pages 1751-1761
AbstractOral squamous cell carcinoma(OSCC) primarily affects the soft tissues,but involvement of jaw bones is seen in about 12–56% of patients.In these cases,radiographic analysis is essential inorder to observe the pattern of bone involvement.A retrospective study was conducted on patients who visited the department of oral medicine from march 2019 to march 2020.The clinical findings,histopathological diagnosis of OSCC patients who showed bone involvement in the digital panoramic radiographs were reviewed from electronic database.Descriptive statistics were used to analyse the radiographic findings.We observed that the majority of patients presenting with oral squamous cell carcinoma involving the jaw bone belonged to the age group 40-50 years with male predilection(76.9%).Mandible was most commonly involved with the right posterior alveolar region being the most commonly affected site.The radiographic changes observed predominantly in the lesions were smooth borders(53.85%) with an altered trabecular pattern (46.15%).The effect of the lesion
on the surrounding structures were spiked root appearance in 84.62% and floating tooth appearance in 69.23% of cases.Presence of saucerization was seen in 76.92%.Hence digital panoramic radiographs are valuable aids in diagnosing the involvement of jaw bones in oral malignancy and thereby help in devising the treatment plan.
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