Park Joonhyoung, Myoung Hoon
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.; Dental Research Institute, Seoul National University, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2016 Aug;42(4):215-20. doi: 10.5125/jkaoms.2016.42.4.215. Epub 2016 Aug 24.
In prolonged chronic osteomyelitis, chronic inflammation and low-grade infections can result in new periosteal bone formation. Chronic osteomyelitis with proliferative periostitis (traditionally termed Garré's sclerosing osteomyelitis) mainly affects children and young adults. Here, we present two rare cases of an 11-year-old and a 12-year-old patient with suppurative chronic osteomyelitis with proliferative periostitis without any definitive infection source, such as dental caries or periodontitis. The source of infection was likely to be related to the development of a lower right third molar germ with follicular space widening. Management involved antibiotics and the removal of the third molar germ and surgical debridement. Disease remission and a normal appearance was observed at the six-month follow-up visit.
在长期慢性骨髓炎中，慢性炎症和低度感染可导致新的骨膜骨形成。伴有增生性骨膜炎的慢性骨髓炎（传统上称为加雷氏硬化性骨髓炎）主要影响儿童和年轻人。在此，我们报告两例罕见病例，一名11岁和一名12岁患者患有化脓性慢性骨髓炎并伴有增生性骨膜炎，且无任何明确的感染源，如龋齿或牙周炎。感染源可能与右下第三磨牙牙胚发育且滤泡间隙增宽有关。治疗包括使用抗生素、拔除第三磨牙牙胚以及手术清创。在六个月的随访中观察到病情缓解且外观正常。
