Akinmoladun V I, Akadiri O A, Adeleye J O, Lasisi O A
Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 2008 Dec;37(4):395-8.
Osteomyelitis of the jaw is of relatively low incidence. Maxillary Osteomyelitis is however rare compared with mandibular osteomyelitis. The extensive blood supply and the strut-like bones of the maxilla make it less prone to chronic infections. Systemic conditions that alter the host's resistance such as diabetes mellitus, autoimmune disorders, agranulocytosis, anaemia, especially sickle cell anaemia are predisposing factors for the development of this condition. An unusual case of chronic maxillary osteomyelitis induced by trauma in a diabetic, with subsequent atypical necrotising ulceration of palatal mucosa resulting in total maxillary sequestration is presented.
颌骨骨髓炎的发病率相对较低。然而,与下颌骨骨髓炎相比,上颌骨骨髓炎较为罕见。上颌骨丰富的血液供应和支柱样的骨骼结构使其较少发生慢性感染。诸如糖尿病、自身免疫性疾病、粒细胞缺乏症、贫血(尤其是镰状细胞贫血)等改变宿主抵抗力的全身性疾病是发生这种情况的诱发因素。本文介绍了一例糖尿病患者因外伤诱发慢性上颌骨骨髓炎,随后腭黏膜出现非典型坏死性溃疡,导致上颌骨完全死骨分离的罕见病例。