Cavalcante Mateus Barros, de Oliveira Lima Amanda Laísa, Júnior Marcus Antônio Brêda, Santos Milkle Bruno Pessoa
*University Center CESMAC, Maceió†State University of São Paulo, UNESP, Araraquara, São Paulo‡University Center of Tiradentes, UNIT, Maceió§University Center CESMAC, Maceió, Brazil.
J Craniofac Surg. 2016 Nov;27(8):2173-2176. doi: 10.1097/SCS.0000000000003095.
The florid cemento-osseous dysplasia is an uncommon condition nonneoplastic, of unknown cause with higher prevalence in melanodermic women, limited the maxillary bones, is characterized by the presence of dispersed and diffuse radiopaque calcifications, constituted of bone and dense cemento; however, when the bone is infected it induces the suppuration and formation of osseous sequestra, thus resulting in an osteomyelitis frame.
The patient was attended in a Dental Specialties Center in the state of Alagoas, Brazil, presenting on clinical examination edema and extra oral fistula with pus drainage in hemiface submandibular of the right side. Radiographically it was possible to observe area of sclerosis and osseous sequestra involving the right side region of the mandible body, and it increases zones of the bone density. In association with clinical data and complementary diagnosis examinations, the option of treatment adopted was the complete removal of the bone fragment, followed by adaptation and plate fixation and titanium screws to reduce the risk of mandibular fracture.
The aim of the present paper was to relate a clinical patient of florid cemento-osseous dysplasia simultaneous the chronic suppurative osteomyelitis, highlighting their clinical, radiographic, and histological characteristics, as well as their diagnosis and treatment.
florid骨质骨化异常是一种罕见的非肿瘤性疾病，病因不明，在黑皮肤女性中患病率较高，局限于上颌骨，其特征是存在由骨和致密牙骨质构成的分散和弥漫性不透射线钙化；然而，当骨感染时，会引发化脓和骨质死骨形成，从而导致骨髓炎状态。
该患者在巴西阿拉戈斯州的一个牙科专科中心就诊，临床检查发现右侧半侧下颌面部有水肿和口外瘘并伴有脓液引流。影像学检查可见硬化区和骨质死骨累及下颌骨体右侧区域，且骨密度增加区。结合临床资料和辅助诊断检查，所采用的治疗方案是完全切除骨碎片，随后进行复位并用钛板和螺钉固定，以降低下颌骨骨折风险。
本文旨在讲述一例同时患有florid骨质骨化异常和慢性化脓性骨髓炎的临床病例，突出其临床、影像学和组织学特征，以及诊断和治疗方法。
