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上颌骨后部慢性化脓性骨髓炎：一种罕见的表现。

Chronic suppurative osteomyelitis of posterior maxilla: A rare presentation.

作者信息

Yadav Sunil, Malik Sunita, Mittal Hitesh C, Puri Punnet

机构信息

Department of Dental Surgery, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.

出版信息

J Oral Maxillofac Pathol. 2014 Sep-Dec;18(3):481. doi: 10.4103/0973-029X.151364.

DOI:10.4103/0973-029X.151364
PMID:25949012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4409202/
Abstract

Thin cortical bone rich in vascularity makes the maxilla scarcely vulnerable to osteomyelitis as compared to mandible. Moreover, the introduction of newer antibiotics, understanding of pathogenesis and improved medical support lead to reduction in incidence of osteomyelitis. Local factors like continuous irritation, smoking and suppressed immune system contributes to the occurrence of suppurative osteomyelitis. We hereby, report an exceptional case of chronic suppurative osteomyelitis of posterior maxilla in a 42-year-old healthy male who was managed successfully by combination of antibiotics, surgical sequestrectomy and debridement.

摘要

富含血管的薄皮质骨使上颌骨与下颌骨相比几乎不易患骨髓炎。此外，新型抗生素的引入、对发病机制的认识以及医疗支持的改善导致骨髓炎发病率降低。持续刺激、吸烟和免疫系统抑制等局部因素会导致化脓性骨髓炎的发生。在此，我们报告一例42岁健康男性上颌骨后部慢性化脓性骨髓炎的特殊病例，该病例通过抗生素、手术死骨切除术和清创术联合成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/130113ecd36d/JOMFP-18-481a-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/e66086806dbb/JOMFP-18-481a-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/b28c88219b81/JOMFP-18-481a-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/cc1ebf63b0b8/JOMFP-18-481a-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/130113ecd36d/JOMFP-18-481a-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/e66086806dbb/JOMFP-18-481a-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/b28c88219b81/JOMFP-18-481a-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/cc1ebf63b0b8/JOMFP-18-481a-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f0/4409202/130113ecd36d/JOMFP-18-481a-g005.jpg

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本文引用的文献

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Maxillary necrosis by mucormycosis. a case report and literature review.毛霉菌病致上颌骨坏死。1例病例报告及文献复习
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A modified protocol for early treatment of osteomyelitis and osteoradionecrosis of the mandible.一种改良的下颌骨骨髓炎和放射性骨坏死早期治疗方案。
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