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下颌骨复发性慢性化脓性骨髓炎

Recurrent chronic suppurative osteomyelitis of the mandible.

作者信息

Rajkumar G C, Hemalatha M, Shashikala R, Kumar D Veerendra

机构信息

Department of Oral and Maxillofacial Surgery, M R Ambedkar Dental College and Hospital, Bangalore, India.

出版信息

Indian J Dent Res. 2010 Oct-Dec;21(4):606-8. doi: 10.4103/0970-9290.74229.

Abstract

Osteomyelitis of the maxillofacial skeleton is a rare condition in recent times. The combination of antibiotic therapy and surgical debridement is effective in the treatment of chronic suppurative osteomyelitis (CSO). This case report describes the successful surgical treatment of CSO of the mandible in an 18-year-old adult. Treatment included a pre-surgical course of antibiotics followed by sequestrectomy, resection of the coronoid process and removal of the pathologically fractured condylar process of the left side of the mandible. On post-operative clinical review at 1 week, the extra oral draining sinus healed with improved mouth opening.

摘要

颌面部骨骼骨髓炎在现代是一种罕见病症。抗生素治疗与外科清创术相结合对慢性化脓性骨髓炎(CSO)的治疗有效。本病例报告描述了一名18岁成年人下颌骨CSO的成功手术治疗。治疗包括术前抗生素疗程,随后进行死骨切除术、冠突切除术以及切除左侧下颌骨病理性骨折的髁突。术后1周的临床复查显示,口外引流窦愈合,开口度改善。

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