Manifestación maxilofacial de hiperparatiroidismo

Abstract

Objective: To analyze the clinical manifestation of hyperparathyroidism in the maxillofacial area at HECMNR. Material and methods: Study design: Descriptive and observational study from January first 1999 to June 2004 in the Maxillofacial Surgery Department. Eighteen files were analyzed and inclusion criteria were central granuloma as clinical initial diagnosis, patients from IMSS with their complete file. Seven files were excluded. From clinical files the age, sex, anatomic location, surgical treatment,
laboratory tests and histopathology study were analyzed. Statistical survey: Descriptive. Results: Eleven cases with central granuloma as a clinical diagnosis were registered, hyperparathyroidism was present only in two cases (18.18%), a 52 years old female and a 62 years old male. Lesions were located in the mandibular body in both cases, etiology was related with parathyroid adenoma. Partial parathyroidectomy was necessary, only one case is still in clinical and radiographic observation with involution size of the tumor. Conclusions: Lesions associated to bone with giant cell granuloma as a clinical initial diagnosis in maxillofacial area, hyperparathyroidism has to be discarded. Type has to be confirmed. Parathyroidectomy being the treatment of choice.