Department Of Dentistry, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India
Conultant Maxillofacial Surgeon, Nagpur, India.
BMJ Case Rep. 2020 Sep 14;13(9):e236163. doi: 10.1136/bcr-2020-236163.
A 52-year male patient reported with loosening of right upper jaw. He has no pain or discharge, or any acute symptoms and systemic disease. Intraoral examination reveals necrosed maxillary bone. He also has no sickle cell disease, hepatitis, HIV or tuberculosis. 3D CT scan reveals destruction of maxilla, maxillary sinus, lateral nasal wall, superior and inferior orbital wall, zygoma and frontal bone(outer table). The clinical diagnosis of osteomyelitis was made. Under general anaesthesia, sequestrectomy was done with the help of Weber-Ferguson incision with infraorbital extension for maxilla, maxillary sinus, zygomatic bone, lateral nasal wall and infraorbital and medial wall of orbit. Frontal sinus region sequestrectomy was done via bicoronal flap. The patient was completely diseased free after 4 years follow-up.
一位 52 岁男性患者自述右上颚松动。他没有疼痛或分泌物，也没有任何急性症状和全身疾病。口腔检查显示上颌骨坏死。他也没有镰状细胞病、肝炎、HIV 或结核病。3D CT 扫描显示上颌骨、上颌窦、外侧鼻壁、上下眼眶壁、颧骨和额骨（外板）破坏。临床诊断为骨髓炎。在全身麻醉下，通过 Weber-Ferguson 切口（眶下延伸）辅助进行骨切除术，用于上颌骨、上颌窦、颧骨、外侧鼻壁和眼眶的眶内和内侧壁。额窦区域通过双冠状皮瓣进行骨切除术。经过 4 年的随访，患者完全无病。
