TY - CHAP M1 - Book, Section TI - Cysts and Tumors of the Jaw A1 - Chan, Yvonne A1 - Goddard, John C. PY - 2019 T2 - K.J. Lee’s Essential Otolaryngology: Head and Neck Surgery, 12e AB - Pathologic lesions of the jaws include a wide differential diagnosis. A thorough clinical history and physical examination aid in diagnosis, though in most situations, radiographs and histopathological analysis are necessary to determine proper treatment. Many are asymptomatic and found on routine dental radiograph screening. All jaw cysts, except periapical cysts, are generally associated with vital teeth, unless coincidental disease of adjacent teeth is present. Ice testing or electrical pulse testing can assess tooth vitality. Needle aspiration prior to open incisional biopsy of a radiolucent lesion is important to exclude diagnosis of arteriovenous malformation and although not always reliable, can give insight into cystic versus solid masses. Aspiration of a solid tumor would usually yield a dry tap. Radiographs play a critical role in management of such lesions of the jaws as they may appear radiolucent (“radiographically cystic”), radiopaque, or sometimes contain characteristics of both (see Figures 39-1 and 39-2). Computed tomography (CT) scans can be helpful when lesions are large, neurologic changes are present, or malignancy is suspected. Pertinent clinical, histopathological, and radiographical features, as well as treatment and prognosis will be reviewed for these lesions. The most current information based on the 2017 World Health Organization (WHO) classification is provided. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesssurgery.mhmedical.com/content.aspx?aid=1172371539 ER -