ISSN : 2376-0249
Vol 3 • Iss 12• 1000528 Dec, 2016
Clinical-Medical Image
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ISSN: 2376-0249
DOI: 10.4172/2376-0249.1000528
International Journal of
Clinical & Medical Imaging
*Corresponding author: Melnichenko Yuliya Michailovna, Human Morphology Department, Belarusian State Medical University, Belarus, Tel:
375291637867; E-mail: mjm1980@yandex.by
Citation: Melnichenko YM, Savrasova NA, Kabak SL (2016) Parotid Stafne Defect. Int J Clin Med Imaging 3: 528. doi:10.4172/2376-0249.1000528
Copyright: © 2016 Melnichenko YM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Case Presentation
A 57-year-old Caucasian woman 11/28/16 was referred for cone-beam computed tomography (CBCT) examination for the
prosthetic treatment planning. Tere were no complaints of pain or any other symptoms. She had no history of trauma, facial
bones or temporomandibular joint diseases.
CBCT scans were performed on Galileos GAX5 (Sirona Dental Systems, Bensheim, Germany) using standard settings (85 kV;
tube current: 507 mA; acquisition period: 14 sec; efective radiation time: 2-6 sec; voxel size: 0.3 × 0.3 × 0.3 mm). Reformatted
panoramic and sagittal CBCT images were analyzed using GALILEOS Viewer (Sirona, Bensheim (Germany).
On reformatted panoramic images single round radiolucent area of size 9.10 × 7.93 mm of the ramus of mandible upwards
and backwards from mandibular foramen was detected. 3D reconstruction showed а local ramus thinning with the formation of
the depression on its inner surface. Outer cortical plates were saved throughout. Radiological signs of bone lesion were not found.
Contralateral ramus of the mandible was without pathological fndings.
In comparison with the appearance of the lesion 5 and 3 years ago, the shape and size of the lesion now did not show any
distinguishable changes. Absence of the progression and unaltered structure of the jaw allowed excluding mass lesions.
Diagnosis
Parotid Stafne bone defect (SBD) of the lef mandibular ramus, lingual variant.
According to the literature the overall incidence of SBD varies from 0.009% to 0.3% [1]. Wolf and Barker believe that SBD
develops in the result of the pressure by hyperplastic/hypertrophic salivary glands tissues on the bone surface (Figure 1) [2,3].
Parotid Stafne Defect
Melnichenko YM*, Savrasova NA and Kabak SL
Human Morphology Department, Belarusian State Medical University, Belarus
Figure 1: CBCT: A) Panoramic B) Sagittal Sections C) 3D Reconstruction. Parotid Stafne defect of the left mandibular ramus, lingual variant (arrow).