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Suspect residual cyst at maxilla with sinus maxilaris involvement Damayanti, Merry Annisa; Dhiaulhaq, Rifarana Inayah; Medika, Chrisna Ardhya; Jamil, Nur Aini; Munasyifa, Tazkia
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 3 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i3.1329

Abstract

Objectives: This case report aims to describe the radiographic characteristics of residual cysts in the maxilla that extend into the vestibular area and the maxillary sinus, using panoramic and CBCT radiographs. Case Report: An 81-year-old patient presented with a chief complaint of re-swelling after cyst removal under local anesthesia and scraping in 2022. The patient changed doctors and had a CBCT examination as a supporting examination to confirm the diagnosis. The patient had a history of hypertension and cholesterol, so treatment was delayed until now. Clinical examination showed vestibular swelling around the edentulous sites of teeth #13 and 14. Radiological examination showed a well-demarcated and well-defined radiolucency in the maxilla that was aggressive due to its relatively large size, erosion of the buccal cortical bone, and extension into the maxillary sinus. The suspected diagnosis of this case was a residual cyst due to previous treatment, with differential diagnoses of labial cyst, nasopalatine cyst, and radicular cyst. Conclusion: Based on clinical examination, radiography examination by 2D, panoramic, and 3D CBCT, this lesion is radiolucent, leading to a suspected radiodiagnosis of maxillary residual ar cyst with maxillary sinus involvement.
Exploring the radiographic distinctions between ewing's sarcoma and malignant and fibrous ameloblastoma: a clinical case report and review Jamil, Nur Aini; Epsilawati, Lusi; Lita, Yurika Ambar
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 3 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i3.1355

Abstract

Objectives: Ewing's sarcoma and fibrous ameloblastoma are distinct entities that can present similarly in imaging studies, posing challenges in accurate diagnosis. This report aims to elucidate the radiographic features that differentiate these two lesions. Case Report: The first case was a 7-year-old boy who came to the radiology installation accompanied by his mother for a panoramic radiography examination. The patient complained of swelling on both sides of the lower jaw for 1.8 years. The second case was an 8-year-old boy who came with a referral for a panoramic radiography examination due to swelling on the left side of the lower jaw for 6 months. The first case was radiographically determined as Differential Radiodiagnosis Ewing sarcoma and malignant ameloblastoma, and the second case was radiographically determined as fibrous ameloblastoma with differential Radiodiagnosis malignant ameloblastoma. The differential diagnosis between Ewing's sarcoma and fibrous ameloblastoma is critical due to their distinct treatment protocols and prognoses. This case underscores the importance of comprehensive imaging evaluation and correlating clinical findings to achieve an accurate diagnosis. Conclusion: This case report contributes to the understanding of radiographic distinctions among Ewing's sarcoma, fibrous ameloblastoma, and malignant ameloblastoma. Enhanced awareness of these differences may improve diagnostic accuracy and inform treatment strategies. This abstract provides a succinct overview of the case report, highlighting essential elements such as background information, case details, discussion points, and conclusions relevant to radiographic distinctions between the two conditions.