颌面部解剖及其病变的影像诊断__培训课件.ppt

* 腺囊癌侵犯PPF，中颅窝 * 咀嚼肌间隙肿瘤侵犯翼腭窝，颞窝，中颅窝，眼眶 * 颌面骨折 * 颞下窝 * 翼窝 * 咀嚼肌间隙，咽旁间隙，翼下颌间隙 * 刻下间隙 * 颏下淋巴结增大 * 颌面解剖 * 颊沟上通上颌窦后脂肪垫 * 翼下颌韧带 * Fibrous dysplasia Fibrous dysplasia. A, CT scan shows a lucent and ground-glass density within the sphenoid bone (large arrows). Expanded bone encroaches on the left pterygopalatine fossa (curved arrow) and foramen ovale (small arrow). B, T1-weighted image demonstrates hypointensity in much of the lesion that encroaches on the left pterygopalatine fossa (arrowhead). C, Expanded bone obliterating the left sphenoid sinus is hypointense on the T2-weighted coronal MR image (arrows). * Mandibular osteosarcoma. Panoramic view (A) demonstrating a mixed destructive pattern. Periosteal reaction results in the sunburst appearance (white arrowhead). Supereruption of the left incisors, premolar, and second molar results in a floating-tooth appearance (black arrows). CT scan (B) shows a destructive process involving the left mandible (small arrow) and the presence of mineralized osteoid within the soft tissue mass (large arrow). T1-weighted (C) and T2-weighted (D) images through the mandible demonstrate a large soft tissue mass with intraoral extension (white arrows). Contrast-enhanced T1-weighted images (E and F) demonstrate tumoral enhancement. (Courtesy L. Van Resenburg and C. Nortjé.) * 下颌肿瘤 * Chondrosarcoma. Lateral oblique view (A) of the left ramus demonstrating a lesion involving the ramus, proximal body, and coronoid process (arrowheads). The radiolucent area represents bone destruction, whereas the more radiopaque areas represent tumoral chondroid formation. T1-weighted (B) and T2-weighted (C) spin-echo images demonstrate a soft tissue mass on the lateral and medial aspect of the mandibular ramus. Abnormal marrow is seen. Gadolinium-enhanced T1-weighted spin-echo (D) and gradient-recalled echo (E) images. (Courtesy L. Van Resenburg and C. Nortjé.) * Rhabdomyosarcoma of the right buccal sulcus. T1-weighted (A) and T2-weight