Exostosis of jaws is a benign education, manifested in the form of bone-cartilaginous growth (osteophyte). The protrusions may be single or multiple, located in the jaw bone. The maxillary osteophytes are more often formed on the outer (peel) surface of the alveolar crest, and exostosis on the lower jaw - from the inside, from the language side. Also occurs a palate bone outgrowth (skynaya torus).
Exostosis is painless, at an early stage do not cause inconvenience. But increasing, education begins to deliver a lot of discomfort - complicates meals, affects sound testing, prevents prosthetics, etc. Osteophyte treatment is only surgical. Removal of extooth on the gum is a small-acting operation that occupies about an hour. The operation is carried out under anesthesia, so the patient does not experience any unpleasant sensations. The method of surgical intervention depends on the localization of osteophyte.
Causes of appearance
Because of which osteophytes appear on the gum is definitely not installed. But the factors contribute to the disease are:
- Hereditary predisposition;
- frequent inflammation, purulent processes leading to atrophy, deformations of maxilla bones and nearby fabrics;
- injuries of the dental system, especially accompanied by fractures of the face of the skull with the incorrect reposition of bone fragments;
- complex tooth removal;
- launched periodontitis, periodontal disease;
- bite pathology;
- Congenital abnormal jaws.
Often, pathology appears in kindergarten or adolescence. Also, the emergence of maxillary growths can be associated with the dysfunction of the endocrine system.
Exostosis of the tooth appears in the form of a convex growth that has appeared without a visible cause. Basic symptoms:
- Feeling of a foreign body in the mouth;
- inconvenience when eating, conversation (with large osteophytes);
- pain when pressing for neoplasm;
- Redness, thinning of the mucous membrane in the pathology zone.
It is possible to identify a small anomaly only at the inspection of the dentist, since it does not show itself anything.
Why jaw osteophytes need to be deleted
The bone outflow on the gum is not dangerous until it starts to grow. By increasing in volume, osteophyte presses on the dental row and bone structures. This leads to displacement of teeth, bite disruption, jaw deformations. Large growths prevent the movements of the language, make it difficult to dictate, interfere with the food normally. Large growths prevent prosthetics and implantation. Alone osteophyte jaw will not disappear. The only result of treatment is the operational removal of pathological education.
- Rapid growth of osteophyte;
- Exostosis after removing the tooth of wisdom;
- discomfort, soreness;
- The appearance of cosmetic defects on the lower or upper jaw (look like white balls on the jaw, noticeable with a smile, conversation);
- the need to implantation, removable or non-removable prosthetics;
- The risk of rebounding the neoplasm from benign in malignant.
If you need to install prostheses or implants, exostosis will become an obstacle to the procedure. Prostheses will injury bone outflow on the gum, and implants will not be able to fit into the bones due to the pressure of osteophytes.
RelativeThe procedure can be carried out with extreme caution.
- Acute infectious inflammatory processes;
- exacerbations of cardiovascular pathologies;
- Teeth and gum disease in the active phase (caries, gingivitis, etc.);
Absolutethe procedure is categorically impossible
- Endocrine, cardiovascular diseases in the decompensation stage;
- Blood coagulation disorders;
- active tuberculosis;
- pronounced osteoporosis.
Stages of treatment
- Local anesthesia.
- Cutting the gums above the protrusion of exoticism, peeling the mucous-perceiversal flap.
- Delete osteophyte.
- Return of the mucous flap in the place, wounding the wound.
The entire operation takes no more than 1-1.5 hours (depends on the volume of intervention, the location of the exoticism).
Exostosis of the jaw bone does not always have external manifestations - often pathology is found in the diagnosis of other disease. The diagnosis is based on the patient complaints, the results of the dental inspection, X-ray study - the aiming picture of the tooth, orthopantomograms. In the picture, osteophytes look like not launched with a gum neoplasm having clear contours.
Treatment of exacts in the mouth only surgical. There are two technologies for the operation. The choice of method depends on the location of osteophytes.
- Removal of the sky, Torusa - The surgeon performs a small linear incision, peeling the mucous-perception of flap, excised the protruding portion of the bone with one block or saws and extracts fragments. Conducts the revision of the wound, returns the flap back and imposes the seams.
- Exciration of alveolar osteophyte - The order of intervention is similar, the difference in the form of the cut. In this case, the incision of the trapezoidal form is made.
Removal of exacts in dentistry is performed by a boron, a laser or piezonjee. When excision, the growths are scraped by the adjacent part of the periosteum, to prevent the re-formation of osteophytes. If the bone deficiency is present during exostosis, the doctor in the process of operation will form the cavity, which places the costecoplastic material. After which the wound eats.
Features of the rehabilitation period
After the bone outflow on the gum was removed, the first 3 hours the patient should refuse food. Next, within 5-7 days, you need to adhere to the following recommendations:
- Use a brush with a soft bristle for daily mouth hygiene;
- use only soft food;
- avoid hot, cold, sour, spicy, acute food;
- Do not touch the operated area with the language, fingers;
- limit the physothes;
- eliminate smoking, alcohol;
- Take preparations assigned drugs (antibiotics, antihistamines, painkillers).
In order for the regeneration to be quick and trouble-free, the doctor will appoint antiseptic rinsing, the PTA baths, a short course of antibiotic therapy. Rehabilitation lasts about a week.
Postoperative complications more often arise due to ignoring medical recommendations. Among undesirable consequences are distinguished:
- The discrepancy of the seams due to intense chewing of food, injury to the operated zone of hard food.
- Inflammation accompanied by edema mucous, suppuration. The main reason is poor care for the postoperative wound, oral cavity.
If such complications occur, you need to quickly contact the dentist. It is impossible to ignore the problem, it is fraught with more serious consequences.
Reduce the risk of jaw exhibition or to detect the problem as early as possible, simple prevention measures will help:
- Careful mouth hygiene;
- regular dental inspections (every six months);
- Timely treatment of teeth, gums;
- Avoiding jaw injuries.
Systematic self-diagnosis is recommended - it is sometimes necessary to carefully examine the orally cavity for the presence of neoplasms, gently palpating the surface of the jaw, the sky zone.
Advantages of treatment in Rutht
The treatment of jaw exhibition in the Roott clinic in Moscow is carried out experimental dentists using small-acting surgical technologies. The price of the operation depends on the complexity, the size of extosis, the method of its removal. In the clinic Rutht, the cost of treatment is formed "turnkey". The price includes anesthesia, all manipulations, consumables, postoperative examinations of the doctor. Primary consultation is free.
|Exostosis of jaws||from 1 000 rub.|
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Exostosis is a limited growth and tumor-like formation on bone, consisting of a real bone substance; It forms the main part of oste. Most often, exostosis develops in adolescence, when the skeleton is quite actively formed and the bones are growing.
Exoprosis in its structure, external form, the nature of development, as well as localization on the bones, represent a large variety and in accordance with this are divided in a different way.
The external form distinguish:
• Sophisticated or comb exostosis;
• Standard exotic, mushroom or round, with a narrow base;
• limited tumors with a round, buggy or smooth surface, the base of which goes into the subject;
• Transitional forms to hyperbodes (especially on the skull).
Eczobosis substance, like a substance of normal bone, is either compact or spinning, or it also has both both character, and the cortical layer consists of compact, and the central of the spongy substance. Often, exotic fabric turns out to be very dense, sclerotic, similar to elephant bone, in other cases it all has a spongy structure, or the expansion of the cavities of the spongy substance leads to the formation of a real bone marrow cavity filled with a conventional bone marrow. However, the transitions of one form to another: the initial sponge exostosis may, due to the consistent seal of its substance, become compact, like an ivory, and vice versa - from dense exotic, due to the expansion of cavity, suction of the bone substance, may turn out to be spongy or medullar exostosis. .
Similarly, the normal bone grows by depositing a new bone substance and exostosis is always based only on the strengthening of this normal process. As it is known, in the normal formation of the skeleton bones, it plays a role, firstly, the formation of bone at the site of the preformed cartilage and, secondly, the formation of bones from the periosteum. While in most bones of the skeleton both these processes are combined between themselves, in the cover bones of the skull there is an exceptionally last process. In accordance with this, exostosis can be obtained from or from the preformed cartilage, or from the periosteum. To this, it is necessary to add another third method - an ossification of intertensive connecting tissue, ligaments, tendons, fascia and a consistent merge of the newly formed bone with skeleton bones.
From here, there are two main forms of exostosis, which must be distinguished from each other, precisely cartilage exotic and exostosis that occurred from connective tissue. The latter, in turn, disintegrate into actual and originally stealing exostosis.
They develop exclusively from the parts of the skeleton formed from the cartilaginous admission; Accordingly, they are absent on the cover bones of the skull, but are observed on the basis of the skull. In addition, they are found on the spine, as well as on the ribs, on flat bones, on the blade and on the bones of the pelvis, mainly on the long bones of the limbs. Especially on the latter, it is clear to see their attitude towards skeletal finishing, as they develop exclusively at the ends of the epiphynes of bones, and moreover, especially in the field of intermediate cartilage. True, at a completely developed bone, such exostosis is often found in the field of diaphysis at a fairly significant distance from the places mentioned, but this is simply due to the fact that the formation of exostosis occurs in a relatively early growth period. Once exostosis was formed, it remains in the same bone location, while the epiphysis is increasingly growing in length and more from it is removed. This process is best observed if you trace the growth of bones in length by introducing pins. While the distance of these pins in diaphysies with continuing growth in length always remains the same, the distance is from the end of the epiphyse more and more increases.
According to its form and the magnitude, cartilage exostoses can represent a wide variety, ranging from small rounded nodules and ending with extensive thickened growths. Between them there are all sorts of intermediate forms in the form of hemispherous or equipped with a foot, then bug, complex, pointed, hook-shaped curved, stalactitis-like growths, a length of several centimeters. Often there are large, bugish tumors, magnitude with walnut, chicken egg and more, sitting usually narrow base on the bone.
The substance of cartilage exostosis is it spinning, with a compact cortical layer, then completely compactly, sclerotically; At the base, they mostly pass without a sharp boundary in the tissue of the bone, from which they proceed; Sometimes the crosses of the latter continues directly into exostosis - the circumstance that may contribute to the development of osteomyelitis after the removal of exostosis.
In addition to localization, these exotic are characterized as cartilaginous, the presence of a layer of hyaline cartilage at its free end. The thickness of this layer can be quite different; It is usually insignificant. With a microscopic examination, it has a structure similar to the articular finishing, but it is different depending on whether the growth of extosis continues whether it continues, or it is already completed. The cartilage layer in the end can completely disappear.
Due to the absence of a cartilage layer, old cartilage exotic is sometimes very difficult to distinguish from other formations, especially since the initial form of them can undergo strong changes.
The formation of cartilage exostosis is observed primarily at a young age, i.e. in the period of growth of bones. In some cases, they already existed at birth; Usually, the stronger development of exostosis occurs during puberty.
The tendency to the formation of bone tissue is observed, however, in another period of life, namely in old age. As you know, deforming arthritis, old bone changes, are characterized by the growth of the articular cartilage, leading to the formation of a wide variety of growths along the edges of the articular cartilage; These cartilage struck ups are also soldered and in this way do not differ from conventional cartilaginous exostosis, although they are accepted.
Crying exostoses are found on the skeleton singly or in a small number. In this case, remarkably symmetrical formation, for example, on the upper epiphies of both large berth bones. However, often cases of very numerous exostosis in the same subject.
In the cranial bones, in these cases, there are no more often observed exostosis, but sometimes there are also exostosis on the basis of the skull, especially at the site of the combination bone compound. Arrangements occurring here are, the truth is not cartilage, but the growths of the upper end of the chord, but at the same time small cartilage and bone expansion are observed. Other skeletal bones, on the contrary, turn out to be almost all seated with a large or smaller number of exostoses, which form rounded, vicious or buggy tumors and can already be determined by a significant disfigure of the body. Separate exostosis, due to their magnitude and caused due to this disorders, may give reason to surgical intervention. Mostly, these exostosis are quite symmetrically distributed through a skeleton, mainly on the bones of the limbs, where they, as usual, are located near the articular ends. On the vertebrae they form numerous minor elevations at the base of the ostic processes and at the edges of the body of the vertebrals; In the edges, they are often found in large quantities, usually near the cartilage, issuing both knutrice and outward; On the rib cartilage, too often there are small cartilage struck. On exotic blades are located around the articular fifth or sit on their free edge; Similarly, they are observed on the clavicle, breasts and pelvic bones. The dice of the wrist and plus, plucked and repulsed, even the phalanxes are sometimes covered with numerous growths.
Some cartilage exostoses are distinguished by the presence of a synovial cavity in them, into which they are going to their covered cartilage end, like an epiphysis in the joint.
The similarity with the joint turns out to be even more, due to the presence of real synovial veins emanating from the inner surface of the bag. In a number of cases, there are even numerous rice bodies and larger free bodies that presented a complete analogy with free bodies of the joints. Such synovial cavities are found both in single, so sometimes in multiple exotic, and they are developing like mucous bags in those places where soft parts are characterized by special displacement over exhibitions, such as under the muscles of the hip, while the remaining exostosis is surrounded by loose fiber. The cavities can be greatly increased in the amount, so that at the bottom of their exostosis is absolutely not visible and becomes noticeable only after removing the synovial-like liquid. Sometimes there are also the message of the cavities with joints, for example, with a knee joint.
Causes of the development of cartilage exostosis
Crying exostosis, for few exceptions, should be explained by the growth of the cartilaginous parts of the skeleton; But at the same time, the growing should not concern certainly the cartilage epiphyse or intermediate cartilage, and it can occur from the remnants of cartilage, preserved in the bone.
The development of exostosis can be imagined in such a way that parts of the cartilage on the periphery of the bones grow in the wrong direction, and the ossification, in contrast to normal epiphysis and apophysis, occurs without the formation of the central bone nucleus, and in direct connection with the bone.
Here, first of all, it is necessary to distinguish between exostoses originating from periosteum, and exostosis, developing from connective tissue, regardless of periosteum, i.e. periosal and steaming exostosis. The latter stand in the transition boundary to heteroplastic osteomas, while the first make up the transition to hyperbodes.
Already under normal conditions, bone protrusions, ridges and rollers are formed in places of the strongest muscle traction. Some exostosis represent nothing but such abnormally large bone protrusions. The boundary between periosal and steaming bones can be completely stuishawn. Sharp odds are possible only when the neoplasia is still covered by an assault, as, for example, in cranial bones.
Easy exostosis are solid or multiple. In their form, they represent a wide variety; While one exostosis, purely periosal, for example, on the skull, are simple round, flat or semi-sidoid thickening or bug, consisting of separate buildings, others, especially stealing exotic, are either sharp spikes or grains, or finally, Completely incorrect ledges, which, in general, retain the form of the initial parts and often directly continue in bundles, aponeurosis, tendons and muscles.
The substance is compact or sponge; The most dense, reminiscent of elephant bone, exostose, developing mainly on the cranial bones, are formed by the periosteum.
Causes of the development of fragile exostosis
In the formation of many periosal and steaming bone arrangements, chronic inflammatory processes play a major role. Excessive bone formation is known to constitute a common phenomenon in chronic inflammatory bone diseases. It usually leads to more or less diffuse thickening (periostosis, hyperostosis) of the bone in the circumference of an inflammatory hearth, for example osteomyelitic abscess. With the cessation of inflammation, the thickening is often resorption, but it can remain and give, therefore, exostosis or hyperostosis. One of the most striking examples of this kind is the thyroid hyperostosis or exostosis of a large bertovoy and small bertovoy in chronic shin ulcers and a diffuse hypertension of leg bones with numerous sharp spikes at elephantism.
The best example of this kind gives an excess bone corn during fractures, especially complex, and first the formation is originally soft, partly cartilage, partly osteoid tissue from periosteum and surrounding connecting tissue, thanks to the ossification of which the dense bone protrusions are obtained.
Therefore, traumatic causes are of great importance for the formation of these exostoses, and as a result they can be obtained both periosal and steaming exostosis.
Symptoms and diagnostics
The main symptoms of exacts include:
• Tangible bone thickening;
• pain under the load on the sore limb;
• Bone pain, especially during movement;
• Pain due to extooth pressure on adjacent nerves.
Confirmation of the diagnosis of exotic is an x-ray, although small changes may not be visible on it. In the case of an unknown growth of bones, there is a suspicion of malignant neoplasm, so the best test here is a biopsy, which will determine whether the collected tissue is a malignant defeat.
If the growth of extooth is not the result of cancer, it does not cause pain and discomfort and does not cause edema - it does not need to be deleted. In children who have no growth in the growth process, exostosis is also not deleted, because it sometimes disappears by itself.
Surgical intervention is recommended if dealing with a bone tumor, which grows rapidly, causes pain and causes physical inconvenience, and can also damage the bone, other soft tissues or nerves. The operation is carried out under general or local anesthesia and is aimed at smoothing the bone tissue. The patient is restored in two weeks.
Exoprosis, once formed, are usually quite persistent education. Often, however, they are even more significantly increased in size over time. In some (few) cases, there is a spontaneous disappearance of exostosis at a young age. Sometimes occurs (especially with so-called extends, such as frontal cavities) spontaneous separation with necrosis. In other cases, exostosis is laid out, even re-, but then they will grow themselves again.
The information presented in this article is intended solely for familiarization and cannot replace professional consultation and qualified medical care. With the slightest suspicion of the presence of this disease, be sure to consult your doctor!
Causes of the disease
Typically, exostosis develops aged 8-18 years. Especially often this disease appears during puberty. In children under 6 years old, it is practically not found.
Most often, exostosis appear in the upper third of the tibia, in the lower third of the thigh, the upper part of the mobility, the upper end of the shoulder and the lower end of the bones of the forearm. They can be formed on a shovel, clavicle, ribs, quite rare them can be found on the bones of plus and brushes, on the vertebrae. In the bones of the skull of exostosis are not formed. These formations can be of various sizes - and the size of the pea, and the size of a large apple. There are cases when exostosis was the size of the child's head. Their amount can also vary from one to several dozen and even hundreds.
Causes of Education Education:
- infections (syphilis);
- Anomalies of periosteum or cartilage;
- Some endocrine diseases.
Often the disease is hereditary.
Bone-cartilage exostosis are two types:
- multiple exotic xondrodisplasis;
- Solitary bone-cartilage exostosis.
Symptoms and disease
Exostosis - a painless disease, and may not be manifested for a long time. Bone-cartilage exostosis can continue to remain unnoticed for a long time, since the growth of bone-cartilage exacts is very often accompanied by symptoms. Exostosis can be detected randomly, for example, with a x-ray examination or in the establishment of output or seals.
Often bone growths are not manifested up to 8 years, however, during the active growth of the skeleton in the period from 8 to 18 years old, the exofition can occur and develop. The accelerated development of bone-cartilage extooth is observed during the period of puberty and is found on the mulberry and tibia, as well as in the lower part of the hip, on the shovel and the clavicle.
Brushes and foot bone-cartilage exostosis amazes much less often and never affects the skull area. The number of growths with bone-cartilage exostose can vary - from units up to dozen, a similar situation and with dimensions - from the pea to a large orange. It is not always possible to carry out the procurement of exostosis during studies, therefore X-ray radiography is used to accurately determine their quantity. This is the only way to obtain data on sizes, forms and the structure of bone-cartilage exhibition.
Bone-cartilage exostope is two types:
- solitary bone-cartilage exostosis;
- Multiple exotic xondromblasis.
Both types of exostosis can hit any bones. Favorite localization is metaphyms of a long tubular bone. 50% of all bone-cartilage exostoses are noted by the damage to the femur, the proximal metaphy of the shoulder joint and the tibia. Bone-cartilage exostosis is usually manifested in adolescent and children's ages.
The clinical picture in bone-cartilage exostose depends on the form of the disease, its localization, the size of exostosis, forms and communication with the tissues and organs. Ecsestosities of huge sizes can affect nervous trunks and vessels, while causing pain. Bone-cartilage exostosis in the spine area, with further growth in the area of the spine canal, may entail the spinal cord compression.
Quite often, exostosis can be forgiven. There are cases when exostosis has grown to such sizes that it was visible even with the naked eye.
Do not think that if exostosis does not deliver unpleasant sensations, it is safe. This disease has serious complications. The growth may squeeze neighboring organs, causing their deformation and violation of functions. It can deform even bones. Another dangerous complication is a fracture of the legs of exhibition. However, the most dangerous complication is the rebirth of exacts in a malignant tumor. This occurs in about 1% of cases of the disease. Most of all, exostope is inclined to shovels, femur bones, basin, vertebrae.
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Treatment of the disease
Treatment of exhibition only surgical. He holds his orthopedist traumatologist under local or general anesthesia. The choice of anesthesia depends on the size of exotic and its localization. In the course of the operation remove the thief on the bone, and its surface is smoothed.
The operation is now carried out through a small incision. Often, if exostosis was small, and the anesthesia is local, the patient may leave the hospital on the same day.
When conducting an operation on the knee joint, it is immobilized for 1-2 weeks with plaster Longeta, then limit the load on the patient's leg for another 1-2 months to prevent possible fractures at the place of the ex-growing growth.
The forecast is good. Usually, after removal of exhibition, persistent recovery occurs.
Diagnosis of the disease
Most exostosis is not clearly pronounced with clinical study, and a complete picture of the number of exostosis, form, size, position, development, structure, etc. can be obtained only after x-ray. The external cartilage cover of exoticis on the radiograph is not visible, so the true size of the growth is always greater than x-ray, especially in children, where the cartilaginous hat can have a thickness of up to 6-8 mm.
Differentiate this disease is needed with bone tumors.
|Disease||Approximate price, $|
|Prices for the prosthetics of hip joint||23 100.|
|Prices for closure treatment||25 300.|
|Prices for Treatment Halkus Valgus||7 980.|
|Prices for the restoration of the knee joint||13 580 - 27 710|
|Prices for scoliosis treatment||9 190 - 66 910|
|Prices for Endoprosthetics of the knee joint||28 200.|
|Prices for the treatment of intervertebral hernia||35 320 - 47 370|
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What is exostosis
Exostosis is a bone or bone and cartilage growing of a neucholar type on the surface of the bones (type of linear, spherical and other education). Exoposed in its structure consists of cartilage tissues (oshezhenaya by similarity as a normal cartilaginous cloth) and therefore the name " cartilage »Exostosis does not exactly show the essence of the entire process.
The process of ossification during exostosis is usually accompanied by the transformation into spongy bone, enclosed outside into a thin and dense bone shell. The surface of bone extooth is a layer covered with hyaline cartilage, the thickness of which is only a few millimeters. From such a cartilage head, the growth of all exhibitions is further stems.
Causes of exosthosis
The causes of the formation of exacts may be Inflammatory process, injury, infringement, anomalies of periosteum and cartilage, such infectious diseases as syphilis , insufficiency of the functions of the endocrine system or its individual glands. Exostosis is presented, in general, as a persistent education, however, there are cases where the process of formation of exacts over time decreases and exostosis disappears forever.
Often, slowly increasing and does not cause pain, exostosis is not marked by clinical symptoms, remaining invisible both for the patient and for the doctor. Exostositions are detected at a radiographic study, or when palpation of seals, which are already visible during inspection.
A large number of scientific works are devoted to clarifying the reasons for exoticism, their attention is aimed at studying heredity in this disease. . However, even the presence in certain cases of family exostosis, which are inherited, does not yet give any reason to explain the occurrence of this disease.
Bone-cartilage exostosis can continue to remain unnoticed for a long time, since the growth of bone-cartilage exacts is very often accompanied by symptoms. Exostosis can be detected randomly, for example, with a x-ray examination or in the establishment of output or seals.
Often, bone growths are not manifested up to 8 years, however, during the active growth of the skeleton in the period from 8 to 16 years old, the exostosis can occur. The accelerated development of bone-cartilage extooth is observed during the period of puberty and is found on the mulberry and tibia, as well as in the lower part of the hip, on the shovel and the clavicle.
Brushes and foot bone-cartilage exostosis amazes much less often and never affects the skull area. The number of growths with bone-cartilage exostose can vary - from units up to dozen, a similar situation and with dimensions - from the pea to a large orange. It is not always possible to carry out the procurement of exostosis in studies, so it is used to accurately determine their quantity Radiography . This is the only way to obtain data on sizes, forms and the structure of bone-cartilage exhibition.
Bone-cartilage exostope is two types: Solid bone-cartilage exostosis и Multiple exotic Hondrodriblasis . Both types of exostosis can hit any bones. Favorite localization is metaphyms of a long tubular bone. 50% of all bone-cartilage exostoses are noted by the damage to the femur, the proximal metaphy of the shoulder joint and the tibia. Bone-cartilage exostosis is usually manifested in adolescent and children's ages.
Clinical picture with bone-cartilage exostose depends on the form of the disease , its localization, size of exostosis, forms and communications with connected tissues and organs. Ecsestosities of huge sizes can affect nervous trunks and vessels, while causing pain. Bone-cartilage exostosis in the spine area, with further growth in the area of the spine canal, may entail the spinal cord compression.
Treatment of exhibition operation
Treatment of exostosis Only surgical . In the case of the formation of multiple exostosis, it is primarily to remove the resulting areas of bone tissue, squeezing nerves and vessels. Treatment of exhibition operation is carried out by doctors by orthopedic traumatologists under general or local anesthesia, depending on the size of the growths on the surface of the bone and their localization. The operation is removed from the bone bone areas, followed by smoothing .
In the treatment of exacts in our traumatology and orthopedics, an operation with minimal trauma of tissues and the use of modern techniques, as well as with the imposition of internal cosmetic seams, which allows to return to the active lifestyle in the shortest possible time. Timely methods of diagnosis of exacts with further effective treatment (if necessary) help to avoid subsequent complications of this disease.
It may be interesting
Users questions about exostose
The article has prepared Children's Surgeon-Ortoped Mikhail Yuryevich Stepanov
Exostosis is a benign bone-cartilage tumor-like thigh, which is located on the surface of the bone. Often, this disease is transmitted by inheritance and most often happens secondary, as a complication of one or another disease.
As a rule, exostosis appear in children of adolescence, they can even develop in a small child, but, in most cases, before 7-8 years, the disease does not exhibit oneself. However, during the period of intensive growth of the body (8-16 years), there is a sharp jump in this pathology.
The danger of such bone-cartilaginous growth is that he can not at all at all show a long time, gradually growled to large sizes.
Often, exostosis is found quite accidentally as a result of a simple inspection. For more detail, the doctor makes X-ray. In some cases, biopsy with the fence of tissues is carried out.
Causes of exhibition
Of course, this disease does not appear just like that, he has its own reasons. As a rule, it is all sorts of injuries and microtraums in children's and adolescence, when there is a strengthened increase in tissues, fractures, infringement, transferred diseases (including infectious and viral), various pathologies of periosteum and cartilage, infringement, diverse skeleton anomalies.
The disease is expressed in the appearance of a lump, which can be located throughout the body, to be on any bone, but almost 50% of all exostosis are formed in the field of the knee (the lower part of the femoral bone and the top department of small bertova and large berth bones). Such growths like long tubular bones.
For the time being, the ailment may not show itself, but gradually it increases and can cause severe local pain and pain that moves into various segments.
Called next to large vessels and nerves, exostosis affect them, causing violations of the passage of nerve impulses and violation of the blood supply to the limbs. In such cases, in addition to pain arising from squeezing certain parts of the body, a person may experience numbness, sometimes dizziness.
If the outage is located next to the joint, it is the cause of limited movements. The emergence of such symptoms is very important and is an absolute indication to urgent treatment of pathology. After all, if the disease proceeds hard and quickly grow, there is a risk of rebirth in a malignant tumor.
Types of exostosis
Exostoses can be of various forms (remind lines, balls, mushrooms, spikes) and sizes (from a few mm to the size of a large apple).
There are solitary growths, that is, solitary, located only in some one place. And maybe the so-called multiple exotic xondromblasis, when tumors occur in several places at once (they are diagnosed in the field of knee, clavicle, on hip and shoulder joints, robers, blades, sometimes even in the oral cavity on the teeth).
One of the most serious forms of this disease is the exostope of the spine, because in this case the tumor can hit the spinal cord and cause violations in its functioning.
Exostoses are quite persistent education, and by themselves they are rarely absorbed, therefore there is only one treatment method - the operation.
As a rule, it is prescribed to persons who have reached the age of majority, until these growths can decrease in size themselves.
In some cases, the tumor does not cause a person no discomfort, so he can live with her all his life, occasionally observed at the doctor.
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There are two reasons why exostosis appear:
- The consequences of the removal of a complex tooth, the displacement of the bone tissue, which could not properly grow;
- Individual feature of the structure of teeth and jaws.
The risk of growths on the gum is caused by their strong pressure on the adjacent teeth or to the bone itself. Pathology does not make it possible to establish implants and painlessly carry them.
Often exostosis of the gum (ICD 10) is the problem detected in the process of installing prostheses in dentistry. The problem is eliminated exclusively through surgical intervention. If you do not remove bone outflow, this anomaly can grow into a tumor. In turn, exostosis do not complicate the functioning of jaws, teeth, do not affect the health of the oral cavity.
Small growths on the gum is difficult to see the naked eye, however, the patient sometimes feels exotic in the form of a small cones in the oral cavity. You can get rid of this pathology through surgical intervention.
<b> As a rule, the removal of growths on the gum includes a number of stages: </ b>
The duration of the operation is an average of 2 hours. The size of the procedure depends on the size of the formation of its location, the complexity of pathology. After the extractionarization, the seams are superimposed, in some cases a grazing bandage. The price of the procedure depends on a number of indicators, the characteristics of its conduct.
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Like any surgical intervention or medical procedure, the removal of exotic is some contraindications. According to the standard, this is:
- low blood coagulation;
- Diseases of the endocrine system.
In most cases, exostosis is easily exposed to surgical intervention and has no consequences. It happens that after the procedure, the gum swells, a small inflammatory response is underway, pain in the extrem region. You can get rid of discomfort with anesthetics and healing drugs.
After treatment, operations, the patient passes the rehabilitation period. Approximately it lasts 7 days. However, with a weakened immune system, the presence of pathogenic microorganisms in the oral cavity, this period is stretched for a month. The main condition in the postoperative period - caution . Cannot be allowed Discrepancies of the seams , so there is only a warm and soft food; It is necessary to maintain temperature mode when drinking drinks, abandon bad habits.
The article checked the expert
Klimovich Victoria Borisovna Qualified specialist in the field of orthodontics, maxillofacial surgery and aesthetic restoration of teeth, experience - 11 years
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