04/21/23 1

Jalal Jalal Shokouhi-M.D.

ISR, Jam-e-Jam,Kourosh medical imaging center

jalaljalalshokouhi@hotmail.com

25 year imaging of Mandible

04/21/23 2

Infla. Poriodontal OsteoradionecrosisInfe. Root abscess Osteomyelitis

Fibro osseaus lesions Fibrous dysplasia Ossifying fibroma Paget disease

04/21/23 3

Benign odotogenic tumors Ameloblastoma Odontoma Cemetoblastoma

Benign non odontogenic Tu. Exostosis, Osteoma, Osteochondroma, Chondroma, Synovial chondromatosis, Giant cell lessions

Malignant Tu. O.S ,E.S , Non-Hodgkin lymphoma Burkit L. , M.M , Leukemia , Langerhanss cell histiocytosis

04/21/23 4

Anatomy-based imaging issues

F.X : CT Axial- CoronalMd is a ring -Find 1 F.X, search for a 2nd

-If no 2nd F.X , check TMJ dislocation

04/21/23 5

Tumor :

Erosion from oral or nasopha.

Stage 4 Scca V3 perineural tumors :

chin, Md , checking : inf. Alveolar canal, Md foramen , Masticator space , Foramen oval , Meckle cave

Infection CECT

TMJ= MRI open-closed mouth, CT for F.X

04/21/23 6

Condyle, Coronoid , Notch, Md foramen, Inf.alveolar Nerve, Mandibular V3 Mental foramen,Mental nerve, Vessels Mandibular canal

Mx= Maxilla Md=

Mandible

04/21/23 7

DDx: Mandibular Fracture Mimics

Lingula Alveolar canal

Nutrient canal Mental foramen

04/21/23 8

04/21/23 9

04/21/23 10

04/21/23 11

04/21/23 12

04/21/23 13

04/21/23 14

04/21/23 15

04/21/23 16

04/21/23 17

04/21/23 18

04/21/23 19

04/21/23 20

04/21/23 21

04/21/23 22

04/21/23 23

04/21/23 24

04/21/23 25

04/21/23 26

04/21/23 27

04/21/23 28

04/21/23 29

04/21/23 30

04/21/23 31

04/21/23 32

04/21/23 33

04/21/23 34

04/21/23 35

04/21/23 36

04/21/23 37

04/21/23 38

04/21/23 39

04/21/23 40

04/21/23 41

04/21/23 42

04/21/23 43

04/21/23 44

04/21/23 45

04/21/23 46

04/21/23 47

04/21/23 48

04/21/23 49

04/21/23 50

AMELOBLASTOMA, MANDIBLE-MAXILLA

04/21/23 51

DDx: Cystic Mandible-Maxilla

Root abscess

Dentigerous Cyst

Odontogen. Keracyst

Fibrous Dysplasia

04/21/23 52

04/21/23 53

04/21/23 54

04/21/23 55

04/21/23 56

04/21/23 57

04/21/23 58

04/21/23 59

04/21/23 60

04/21/23 61

04/21/23 62

04/21/23 63

04/21/23 64

04/21/23 65

04/21/23 66

04/21/23 67

04/21/23 68

04/21/23 69

04/21/23 70

04/21/23 71

Osteosarcoma, Mandible-Maxilla

04/21/23 72

Aggressive Mandibular Lesion

MetastasesAmeloblastoma

Tooth Abscess

Comminuted Fx

04/21/23 73

04/21/23 74

04/21/23 75

04/21/23 76

04/21/23 77

04/21/23 78

04/21/23 79

04/21/23 80

04/21/23 81

Burkitt Lymphoma,Mandible-Maxilla

04/21/23 82

DDx: Mandibular Mass

Dentigerous Cyst

Metastasis

Ameloblastoma

Osteosarcoma

04/21/23 83

04/21/23 84

04/21/23 85

04/21/23 86

DDx: Lucent Lesioncof Mandible or Maxilla

Periodontal Disease

Ameloblastoma

Dentigerous Cyst

Odontogen. Keratocyst

04/21/23 87

04/21/23 88

DENTIGEROUS CYST, MANDIBLE-MAXILLA

04/21/23 89

DDx: Cystic Mandibular Lesion

Radicular cyst

Metastasis

Odontogen. Keracyst

Ameloblastoma

04/21/23 90

04/21/23 91

04/21/23 92

04/21/23 93

04/21/23 94

04/21/23 95

04/21/23 96

04/21/23 97

04/21/23 98

04/21/23 99

04/21/23 100

04/21/23 101

04/21/23 102

Thank you

for your attention