Abstract
Stafne bone cavity (SBC) is a bone defect which appears unilaterally round or oval shaped radiolucent area with well-defined border. The most common location of the defect is the mandibular molar area at the lingual side of the mandible, below the mandibular canal. Additionally other rarer variants of SBC, anterior lingual, buccal aspect of ascending ramus, and lingual aspect of ascending ramus are also reported. In this paper, a rare case of posterior and anterior variant of double SBCs with buccal cortical bone perforation was presented. An 83-year-old male patient was referred to our clinic for a routine dental examination. Panoramic examination presented two well-defined radiolucent areas. One was located at the right posterior region of the mandible, below the inferior alveolar canal and the second in the region of right canine–premolar area, anterior of the mental foramen. Cone beam computed tomography also confirmed the defects. Magnetic resonance imaging of patient showed that posterior variant was filled with part of submandibular gland and anterior variant was filled with part of sublingual gland. The diagnosis was made as double SBCs and the patient was informed about the lesions.
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References
Stafne EC. Bone cavities situated near the angle of the mandible. J Am Dent Assoc. 1942;29:1969–72.
Murdoch-Kinch CA. Craniofacial anomalies. In: White SC, Pharoah MJ, editors. Oral radiology principles and interpretation. 7th ed. Mosby: St. Louis; 2014. p. 612–29.
Shimizu M, Osa N, Okamura K, Yoshiura K. CT analysis of the Stafne’s bone defects of the mandible. Dentomaxillofac Radiol. 2006;35:95–102. https://doi.org/10.1259/dmfr/71115878.
Munevveroglu AP, Aydin KC. Stafne bone defect: report of two cases. Case Rep Dent. 2012;2012: 654839. https://doi.org/10.1155/2012/654839.
Nikzad S, Azari A, Khezri FH. Diagnosis of a lingual mandibular bone defect (Stafne’s bone defect) by CT Scan. Iran J Radiol. 2010;7:27–30.
Prechtl C, Stockmann P, Neukam FW, Schlegel KA. Enlargement of a Stafne cyst as an indication for surgical treatment—a case report. J Craniomaxillofac Surg. 2013;41:270–3. https://doi.org/10.1016/j.jcms.2012.10.013.
Johri S, Sripathi R, Gunachandara R, Arvind R. Stafne bone cyst—case report. Sch J Dent Sci. 2015;2:367–9.
Philipsen HP, Takata T, Reichart PA, Sato S, Suei Y. Lingual and buccal mandibular bone depressions: a review based on 583 cases from a world-wide literature survey, including 69 new cases from Japan. Dentomaxillofac Radiol. 2002;31:281–90. https://doi.org/10.1038/sj.dmfr.4600718.
Branstetter BF, Weissman JL, Kaplan SB. Imaging of a Stafne bone cavity: what MR adds and why a new name is needed. AJNR Am J Neuroradiol. 1999;20:587–9.
Sakashita H. Bilateral static bone defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:380–1. https://doi.org/10.1016/S1079-2104(96)80010-2.
Etoz M, Etoz O, Sahman H, Sekerci A, Polat H. An unusual case of multilocular Stafne bone cavity. Dentomaxillofac Radiol. 2012;41:75–8. https://doi.org/10.1259/dmfr/34731967.
Nishimura S, Osawa K, Tanaka T, Imamura Y, Kokuryo S, Habu M, Jyoujima T, Miyamura Y, Mochida KI, Inoue T, Kito S, Wakasugi-Sato N, Matsumoto-Takeda S, Oda M, Yoshiga D, Kodama M, Sasaguri M, Tominaga K, Yoshioka I, Morimoto Y. Multiple mandibular static bone depressions attached to the three major salivary glands. Oral Radiol. 2018;34:277–80. https://doi.org/10.1007/s11282-017-0304-x.
Ozdede M. An unusual case of double Stafne bone cavities. Surg Radiol Anat. 2020;42:543–6. https://doi.org/10.1007/s00276-019-02403-8 (Epub 2020 Jan 2 PMID: 31897651).
Aguiar LB, Neves FS, Bastos LC, Crusoé-Rebello I, Ambrosano GM, Campos PS. Multiple Stafne bone defects: a rare entity. ISRN Dent. 2011;2011: 792145.
Katz J, Chaushu G, Rotstein I. Stafne’s bone cavity in the anterior mandible: a possible diagnostic challenge. J Endod. 2001;27:304–7. https://doi.org/10.1097/00004770-200104000-00020.
Anneroth G, Berglund G, Kahnberg KE. Intraosseous salivary gland tissue of the mandible mimicking a periapical lesion. Int J Oral Maxillofac Surg. 1990;19:74–5. https://doi.org/10.1016/S0901-5027(05)80198-5.
Barak S, Katz J, Mintz S. Anterior lingual mandibular salivary gland defect—a dilemma in diagnosis. Br J Oral Maxillofac Surg. 1993;31:318–20. https://doi.org/10.1016/0266-4356(93)90070-D.
Tominaga K, Kuga Y, Kubota K, Ohba T. Stafne’s bone cavity in the anterior mandible: report of a case. Dentomaxillofac Radiol. 1990;19:28–30. https://doi.org/10.1259/dmfr.19.1.2387472.
Sisman Y, Etöz OA, Mavili E, Sahman H, Tarim EE. Anterior Stafne bone defect mimicking a residual cyst: a case report. Dentomaxillofac Radiol. 2010;39:124–6. https://doi.org/10.1259/dmfr/49320253.
More CB, Das S, Gupta S, Patel P, Saha N. Stafne’s bone cavity: a diagnostic challenge. J Clin Diagn Res. 2015. https://doi.org/10.7860/JCDR/2015/14273.6772.
Sisman Y, Miloglu O, Sekerci A, Yilmaz A, Demirtas O, Tokmak T. Radiographic evaluation on prevalence of Stafne bone defect: a study from two centres in Turkey. Dentomaxillofac Radiol. 2012;41:152–8. https://doi.org/10.1259/dmfr/10586700.
Hansson LG. Development of a lingual mandibular bone cavity in an 11-year-old boy. Oral Surg Oral Med Oral Pathol. 1980;49:376–8. https://doi.org/10.1016/0030-4220(80)90152-8.
Wolf J, Mattila K, Ankkuriniemi O. Development of a Stafne mandibular bone cavity. Report of a case. Oral Surg Oral Med Oral Pathol. 1986;61:519–21. https://doi.org/10.1016/0030-4220(86)90398-1.
Shibata H, Yoshizawa N, Shibata T. Developmental lingual bone defect of the mandible. Report of a case. Int J Oral Maxillofac Surg. 1991;20:328–9. https://doi.org/10.1016/S0901-5027(05)80259-0.
Kao YH, Huang IY, Chen CM, Wu CW, Hsu KJ, Chen CM. Late mandibular fracture after lower third molar extraction in a patient with Stafne bone cavity: a case report. J Oral Maxillofac Surg. 2010;68:1698–700. https://doi.org/10.1016/j.joms.2009.06.019.
Quesada-Gomez C, Valmaseda-Castello E, Berini-Aytes L, Gay-Escoda C. Stafne bone cavity: a retrospective study of 11 cases. Med Oral Patol Oral Cir Bucal. 2006;11:E277–80.
Arya S, Pilania A, Kumar J. Prevalence of Stafne’s cyst—a retrospective analysis of 18,040 orthopantomographs in Western India. J Indian Acad Oral Med Radiol. 2019;31:40–4.
Tarim Ertas E, Yırcalı Atıcı M, Kalabalık F, Ince O. An unusual case of double idiopathic ramus-related Stafne bone cavity. Oral Radiol. 2013;29:193–7. https://doi.org/10.1007/s11282-012-0121-1.
Ariji E, Fujiwara N, Tabata O, Nakayama E, Kanda S, Shiratsuchi Y, Oka M. Stafne’s bone cavity. Classification based on outline and content determined by computed tomography. Oral Surg Oral Med Oral Pathol. 1993;76:375–80. https://doi.org/10.1016/0030-4220(93)90271-5.
Chaudhry A. Stafne’s bone defect with bicortical perforation: a need for modified classification system. Oral Radiol. 2021;37:130–6. https://doi.org/10.1007/s11282-020-00457-8.
Grellner TJ, Frost DE, Brannon RB. Lingual mandibular bone defect: report of three cases. J Oral Maxillofac Surg. 1990;48:288–96. https://doi.org/10.1016/0278-2391(90)90396-J.
Araiche M, Brode H. Aberrant salivary gland tissue in mandible. Oral Surg Oral Med Oral Pathol. 1959;12:727–9. https://doi.org/10.1016/0030-4220(59)90119-7.
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Katı, E., Akçiçek, G. & Bulut, E. A rare case of two Stafne bone cavities in the ipsilateral mandible with bicortical bone perforation. Oral Radiol 38, 625–629 (2022). https://doi.org/10.1007/s11282-022-00628-9
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DOI: https://doi.org/10.1007/s11282-022-00628-9