Yadav Sunil, Malik Sunita, Mittal Hitesh C, Puri Punnet
Department of Dental Surgery, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.
J Oral Maxillofac Pathol. 2014 Sep-Dec;18(3):481. doi: 10.4103/0973-029X.151364.
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.
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。