Sotirov S, Penev P, Kirova D
Stomatologiia (Sofiia). 1989 Jul-Aug;71(4):30-3.
The incision of the soft tissues is an approbated method for the surgical treatment of the acute odontogenic osteomyelitis of the lower jaw and for the chronic--the sequestrectomy after the complete detachment of the sequestra. In the paper the authors share their experience in the surgical treatment of acute osteomyelitis and chronic odontogenic osteomyelitis as early as the phase of demarcation of the sequestra, with special attention paid to the extraoral drainage and local effect on the operated bone. In all other cases the operation wound in the oral cavity is sutured without drainage for healing by first intention. To some of the patients with developed acute osteomyelitis of the lower jaw, the authors applied the rarely practiced method of trephination of the bone, aiming at the reduction of the intraosseous pressure induced by the inflammatory process. Thirty nine patients have been treated according to the methods described and the results so far are a good evidence for their recommendation for the practice.
软组织切开术是治疗下颌急性牙源性骨髓炎以及慢性牙源性骨髓炎（在死骨完全分离后进行死骨切除术）的一种公认方法。在本文中，作者分享了他们在急性骨髓炎和慢性牙源性骨髓炎手术治疗方面的经验，甚至早在死骨分界期就开始治疗，特别关注口外引流以及对手术部位骨骼的局部影响。在所有其他情况下，口腔内的手术伤口不放置引流物直接缝合，以期一期愈合。对于一些下颌急性骨髓炎已发展的患者，作者采用了很少应用的骨钻孔方法，目的是降低炎症过程引起的骨内压力。按照所描述的方法对39例患者进行了治疗，目前的结果充分证明了这些方法值得在临床实践中推荐。
