下颌骨体部慢性骨髓炎伴增生性骨膜炎：1例报告并文献复习
Chronic osteomyelitis with proliferative periostitis of the mandibular body: report of a case and review of the literature.
作者信息
Liu D, Zhang J, Li T, Li C, Liu X, Zheng J, Su Z, Wang X
机构信息
Shandong Provincial Key Laboratory of Oral Tissue Regeneration, School of Stomatology, Shandong University , Jinan, Shandong Province , China.
Department of Oral and Maxillofacial Surgery, School of Stomatology, Shandong University , Jinan, Shandong Province , China.
出版信息
Ann R Coll Surg Engl. 2019 May;101(5):328-332. doi: 10.1308/rcsann.2019.0021. Epub 2019 Mar 11.
Abstract
Chronic osteomyelitis with proliferative periostitis is a rare form of osteomyelitis that is characterised by new bone formation with periosteal reaction. It is also traditionally known as Garre's osteomyelitis. The common sources of infection of the jaw include dental caries associated with periapical periodontitis, periodontitis, fractures and nonodontogenic infections. Chronic osteomyelitis with proliferative periostitis mainly presents in younger patients. Here, we present a case of a 12-year-old patient with chronic osteomyelitis with proliferative periostitis with no definitive infection source such as pericoronitis, caries and periodontitis. Therapeutic measures involved surgical debridement and antibiotics. Disease remission and a normal facial symmetrical morphology were observed at the six-month follow-up.
摘要
慢性增生性骨膜炎性骨髓炎是一种罕见的骨髓炎形式，其特征是伴有骨膜反应的新骨形成。它传统上也被称为加雷氏骨髓炎。颌骨感染的常见来源包括与根尖周炎相关的龋齿、牙周炎、骨折和非牙源性感染。慢性增生性骨膜炎性骨髓炎主要发生在年轻患者中。在此，我们报告一例12岁患有慢性增生性骨膜炎性骨髓炎的患者，该患者没有明确的感染源，如冠周炎、龋齿和牙周炎。治疗措施包括手术清创和使用抗生素。在六个月的随访中观察到病情缓解且面部形态对称正常。
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