Akgül Hayati Murat, Çağlayan Fatma, Günen Yılmaz Sevcihan, Derindağ Gözde
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey.
Case Rep Dent. 2018 Jul 8;2018:1409539. doi: 10.1155/2018/1409539. eCollection 2018.
Garre's osteomyelitis is a local thickening of the periosteum caused by a slight irritation or infection. We aimed to present the extraoral, intraoral, and radiographic findings and postoperative pursuits of two patients diagnosed with Garre's osteomyelitis. In this case report, although clinical findings indicate infection source, these clinical findings are strongly supported by cone-beam computed tomography images. In addition, it can be seen that when we have followed the case I, we have chosen the right path in treatment.
Two patients presented to our clinic due to severe swelling and facial asymmetry in the right and left mandibular region. As a result of the clinical and radiological examinations, the patients were diagnosed with Garre's osteomyelitis. Infected teeth that were responsible for the formation of Garre's osteomyelitis were extracted under antibiotic treatment in both cases. A complete improvement in postoperative control was observed in case I. On the other hand, the other case could not be followed up postoperatively.
In Garre's osteomyelitis, new bone formation can occur in many pathological conditions. Therefore, it should be distinguished from other pathologies that cause new bone formation, such as Ewing's sarcoma, Caffey disease, and fibrous dysplasia.
Garre骨髓炎是由轻微刺激或感染引起的骨膜局部增厚。我们旨在介绍两名被诊断为Garre骨髓炎患者的口外、口内及影像学表现以及术后追踪情况。在本病例报告中，尽管临床发现提示了感染源，但锥束计算机断层扫描图像有力地支持了这些临床发现。此外，可以看出，在追踪病例I时，我们在治疗中选择了正确的路径。
两名患者因左右下颌区域严重肿胀和面部不对称前来我院就诊。经过临床和放射学检查，两名患者均被诊断为Garre骨髓炎。在两例病例中，均在抗生素治疗下拔除了导致Garre骨髓炎形成的感染牙齿。病例I术后复查显示完全恢复。另一方面，另一例病例术后未能进行随访。
在Garre骨髓炎中，新骨形成可发生于多种病理状况。因此，应将其与其他导致新骨形成的病理状况相鉴别，如尤因肉瘤、卡菲病和骨纤维异常增殖症。
