Shen Joseph Y, Futran Neal D, Sardesai Maya G
Department of Dermatology, Stanford University, Stanford, CA, USA.
Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, WA, USA.
Radiol Case Rep. 2017 Dec 20;13(1):104-107. doi: 10.1016/j.radcr.2017.10.018. eCollection 2018 Feb.
Craniofacial osteomyelitis progression is rare, as patients are soon treated. A 56-year-old male smoker presented with sinusitis and was managed medically. This patient failed to follow up and presented 1 year later with erosive bony disease. He was managed medically and surgically; however, his disease evolved to include his midface, skull base, and cranium. He underwent staged debridement and free tissue reconstruction. His disease is controlled but not cured. The literature includes case reports and small series describing limited disease treated successfully with surgical and medical management. Although craniofacial osteomyelitis is uncommon, it can become debilitating. This case demonstrates how craniofacial osteomyelitis can progress and highlights the benefit of a multidisciplinary approach.
颅面骨骨髓炎进展罕见，因为患者很快就会接受治疗。一名56岁的男性吸烟者因鼻窦炎就诊，接受了药物治疗。该患者未进行随访，1年后出现侵蚀性骨病。他接受了药物和手术治疗；然而，他的病情发展到累及中面部、颅底和颅骨。他接受了分期清创和游离组织重建。他的病情得到了控制，但并未治愈。文献中有病例报告和小系列研究描述了通过手术和药物治疗成功治疗的局限性疾病。虽然颅面骨骨髓炎并不常见，但它可能会使人衰弱。本病例展示了颅面骨骨髓炎如何进展，并强调了多学科方法的益处。
