Franchi G, Soupre V, Karcenty B, Buis J, Diner P A, Vazquez M P
Service de Chirurgie, Maxillo-Faciales, et Plastique Stomatologie, Hôpital d'enfants Armand-Trousseau, Paris.
Rev Stomatol Chir Maxillofac. 1999 May;100(2):70-4.
In children, mandibular swelling associated with an X-ray bone osteolysis may correspond to tumoral or infection diseases. Circumscribed osteitis of a child's mandibula, with no dental etiology occurs around 7-years of age, adjacent to a healthy first molar. Five cases reports were analyzed. Clinically, it is a bone swelling of the mandibula's lateral cortical associated with a soft tissue swelling. X-ray signs were not specific but all cases showed a bone lacuna with sharp outlines. Such clinical and X-ray signs strongly suggest diagnosis of osteitis which has a higher incidence than malignant tumors. The lack of dental pathology suggests bloodstream dissemination from another localized sepsis. Surgical removal of pathologic bone in addition to antibiotics (6 or 8 weeks) appears to be an effective treatment.
在儿童中，与X线骨质溶解相关的下颌肿胀可能与肿瘤性或感染性疾病有关。儿童下颌骨的局限性骨炎，无牙源性病因，多发生在7岁左右，紧邻健康的第一磨牙。分析了5例报告。临床上，它是下颌骨外侧皮质的骨肿胀并伴有软组织肿胀。X线表现不具有特异性，但所有病例均显示有轮廓清晰的骨腔隙。这种临床和X线表现强烈提示骨炎的诊断，其发病率高于恶性肿瘤。无牙病病理学表现提示可能是由另一个局部脓毒症经血行播散所致。除使用抗生素（6或8周）外，手术切除病变骨似乎是一种有效的治疗方法。
