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颌骨骨髓炎及其相似病症:破解诊断谜团

Osteomyelitis of the Jaw Bones and Its Mimics: Resolving the Diagnostic Enigma.

作者信息

Justine Deepak, Bhalla Ashu Seith, Manchanda Smita, Bhutia Ongkila, Roychoudhury Ajoy

机构信息

Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.

Department of Oral and Maxillofacial Surgery, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Radiol Imaging. 2024 Dec 28;35(3):361-373. doi: 10.1055/s-0044-1800972. eCollection 2025 Jul.

Abstract

Jaw osteomyelitis is a severe inflammatory condition affecting the maxilla or mandible, posing diagnostic and therapeutic challenges. An early and accurate diagnosis is crucial to initiating appropriate treatment and preventing potential complications. Radiological imaging plays a pivotal role in diagnosing and evaluating jaw osteomyelitis, providing valuable insights into the extent of the disease and aiding clinicians in making informed decisions. One of the most important aspects of imaging is to differentiate them from the noninfectious mimics, which can closely mimic their imaging appearance. This article aims to present a comprehensive overview of imaging in jaw osteomyelitis, focusing on the critical clinical and imaging markers that distinguish it from its noninfectious imitators.

摘要

颌骨骨髓炎是一种影响上颌骨或下颌骨的严重炎症性疾病,带来诊断和治疗方面的挑战。早期准确诊断对于启动适当治疗和预防潜在并发症至关重要。放射影像学在颌骨骨髓炎的诊断和评估中起着关键作用,能为疾病范围提供有价值的见解,并帮助临床医生做出明智决策。影像学最重要的方面之一是将其与非感染性模仿病变区分开来,这些病变可能与其影像学表现极为相似。本文旨在全面概述颌骨骨髓炎的影像学,重点关注将其与非感染性模仿病变区分开来的关键临床和影像学标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dce/12169932/111828483548/10-1055-s-0044-1800972-i2423352-1.jpg

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