Fatani Bader, AlSayari Njood A, Bakhashwain Hamad M, AlShathry AlJoharah K, Alsagr Haya A, Bin-Salah Mohammed A
College of Dentistry, King Saud University, Riyadh, SAU.
Oral and Maxillofacial Surgery, King Saud University, Riyadh, SAU.
Cureus. 2024 Aug 19;16(8):e67201. doi: 10.7759/cureus.67201. eCollection 2024 Aug.
Osteomyelitis is mainly caused by pyogenic organisms that spread through fractures, the bloodstream, or surgeries. It is a serious bone infection that can be either acute or chronic. It involves an inflammatory process affecting the bone and its surrounding structures. Management of osteomyelitis mainly depends on the nature of the lesion. In pathological fracture, the usual treatment is resection of the lesion with affected margins. However, the reconstruction is usually delayed until the infected bone is completely removed. In this case report, we demonstrate a case of an unusual presentation of osteomyelitis in the right body of the mandible which caused a pathological fracture following the extraction of the lower right first molar. The patient was further treated by segmental resection, coronoidectomy, and reconstruction of the defective site using a recon plate with inferior alveolar nerve preservation using the lateralization technique.
骨髓炎主要由通过骨折、血液或手术传播的化脓性生物引起。它是一种严重的骨感染，可分为急性或慢性。它涉及影响骨骼及其周围结构的炎症过程。骨髓炎的治疗主要取决于病变的性质。在病理性骨折中，通常的治疗方法是切除病变及受累边缘。然而，重建通常会推迟到感染的骨头被完全清除之后。在本病例报告中，我们展示了一例下颌骨右侧体部骨髓炎的不寻常表现，该骨髓炎在下颌右下第一磨牙拔除后导致了病理性骨折。患者进一步接受了节段性切除、喙突切除术，并使用外侧化技术在保留下牙槽神经的情况下用重建钢板对缺损部位进行了重建。
