BAŞ BOYUN BÖLGESİNDEKİ YUMUŞAK DOKU KALSİFİKASYON VE OSSİFİKASYONLARI

Cene-yuz bolgesinde nadir olarak gorulen yumusak doku kalsifikasyon ve ossifikasyonlari genellikle rutin radyografik tetkikler sirasinda tesadufen fark edilirler. Kalsifikasyonlar; distrofik, idiyopatik ve metastatik ol- mak uzere siniflandirilabilir. Ossifikasyonlar; stylohyoid ligament ossifikasyonu, osteoma kutis, myositis ossifi- kanstir. Kalsifikasyon ve ossifikasyonlar, bazi durum- larda semptomatik olabilmelerine karsin cogunlukla uzun yillar semptomsuz kalirlar. Anatomik lokalizas- yonlari, dagilimi, sayisi, ebatlari ve sekli en onemli tani kriterleridir. Radyograflarda belirlenen yumusak doku kalsifikasyonlarinin lokalizasyonlarinin belirlenebilmesi,  normal ve patolojik anatominin detayli olarak incele- nebilmesi amaciyla bilgisayarli tomografi, konik isinli bilgisayarli tomografi, manyetik rezonans goruntuleme ve ultrasonografi ile degerlendirme gerekebilmektedir.  Bu derlemede yumusak doku kalsifikasyon ve ossifikasyonlari genel ozelliklerine gore siniflandirilmis, klinik ve radyografik ozellikleriyle tartisilmistir. Anahtar Kelimeler : Kalsifikasyon, ossifikasyon, panoramik radyografi, distrofik SOFT TISSUE CALCIFICATION AND OSSIFICATION IN THE HEAD AND  NECK REGION ABSTRACT Soft tissue calcifications and ossifications in the maxillofacial area are uncommon, and generally they are noticed in routine radiographic examinations. Calcifications can be classified as dystrophic, idiopathic and metastatic. Ossifications can be classified as stylohyoid ligament ossification, osteoma cutis, myositis ossificans. Calcifications and ossifications can be symptomatic or they can remain asymptomatic for years. The most important diagnostic criterions of the calcifications are anatomical location, distribution, number, size and shape. To determine the localization of soft tissue calcifications identified in radiographs and in order to examine the normal and pathological anatomy in detail, computed tomography, cone beam computed tomography, magnetic resonance imaging and ultrasonography is performed. In this review, these calcifications and ossifications are classified as regards general characteristics, their clinical and radiographic features are discussed. Keywords: Calcification, ossification, panoramic radiography, dystrophic

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