Pappachan Biju, Agrawal Raghav
Department of Oral and Maxillofacial Surgery, Government Dental College, Raipur, C.G. India.
BRLSABVM Medical College, Rajnandgaon, C.G India.
J Maxillofac Oral Surg. 2025 Jun;24(3):812-819. doi: 10.1007/s12663-023-01852-4. Epub 2023 Jan 23.
Osteomyelitis is the inflammatory condition known to affect the jaw bones as well as the long bones of the skeleton. In the facial skeleton, it commences in the medullary portion of the bones and extends further to involve the cortex and periosteum. The diagnosis of osteomyelitis is usually established on the basis of history, presenting clinical features, radiographic and histopathology findings. We present here three cases of osteomyelitis with atypical presentations. Usually in children and young adults, osteomyelitis of facial skeleton is not very common. In maxillofacial skeleton, however, when there are underlying systemic condition, children and young adults may present with osteomyelitis. In certain cases, they also do present as reactionary process in the bone or will have no underlying systemic condition. Diagnosing these cases and management often becomes challenging in the children and young adults.
骨髓炎是一种已知会影响颌骨以及骨骼长骨的炎症性疾病。在面部骨骼中，它始于骨髓部分，并进一步蔓延至皮质和骨膜。骨髓炎的诊断通常基于病史、临床表现、影像学和组织病理学检查结果。我们在此展示三例表现不典型的骨髓炎病例。通常在儿童和年轻人中，面部骨骼的骨髓炎并不常见。然而，在颌面部骨骼中，当存在潜在的全身性疾病时，儿童和年轻人可能会出现骨髓炎。在某些情况下，它们也可能表现为骨骼的反应性病变，或者没有潜在的全身性疾病。对这些病例进行诊断和治疗在儿童和年轻人中往往具有挑战性。
