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Use of office-based ultrasonography for soft tissue lesions : A report of 3 cases with literature review

J Korean Dent Assoc > Volume 53(2); 2015 > Article
The Journal of The Korean Dental Association 2015;53(2):143-152.
Published online February 28, 2015.
안면부 연조직 진단에서 외래기반 초음파의 사용 : 증례 보고(3례) 및 문헌 고찰
김재영1, 김민규2, 이성화3, 김형준4, 남웅5
1연세대학교 치과대학 강남세브란스병원 구강악안면외과
2연세대학교 치과대학 구강악안면외과
3연세대학교 치과대학 구강악안면외과
4연세대학교 치과대학 구강악안면외과
5연세대학교 치과대학 구강악안면외과
Use of office-based ultrasonography for soft tissue lesions : A report of 3 cases with literature review
Jae-Young Kim1, Min-Kyu Kim2, Sung-Hwa Lee3, Hyung Jun Kim4, Woong Nam5
1Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry
2Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry
3Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry
4Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry
5Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry
Abstract
Ultrasonography is relatively inexpensive, non-invasive imaging tool and provides real-time imaging. In addition, the images can be obtained repeatedly. But it is not widely used by dentists because it is hard to interpret and technique sensitive. Above all, ultrasonography cannot be used for hard tissue diagnosis. However, ultrasonography can be applied for diagnosis of infection, soft tissue tumor and inflammatory muscle diseases which are commonly found in dental outpatients. Generally, it shows well-defined border, hypoechoic and homogenous structure in case of benign tumor. Malignant tumor appears relatively irregular margin and heterogenous structure. Cyst represents relatively echo-free features compared with benign tumor. Although the general characteristics of abscess are similar with benign tumor, we can observe an increased vascularity and different clinical features. The purpose of this report is to present 3 cases of US images using office-based ultrasonography with their features and discuss the role of office-based ultrasound in dentistry for diagnosis of soft tissue lesions with literature review.
Key Words: Ultrasonography;Outpatient clinic;Soft tissue neoplasm;Diagnostic imaging;


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