Azumi T, Yoshikawa Y, Nagase M, Nakajima T
J Oral Surg. 1980 Jul;38(7):525-9.
Two cases of pathologic fracture of the mandible resulting from chronic osteomyelitis are described. The first case was treated successfully by antibiotic therapy followed by resection of the affected bone and iliac bone grafting after six months of follow-up care. In the second case, a patient with a history of diabetes mellitus, a fracture of the condyloid process occurred because of extension of the Actinomyces infection after extraction of the third molar. Because antibiotics failed to prevent exacerbation of the disease, the patient was given human gamma globulin. Then, all the signs of inflammation disappeared gradually with no evidence of recurrence for more than a year. There was no spontaneous bony healing of the fractured site.
本文描述了两例由慢性骨髓炎导致的下颌骨病理性骨折病例。第一例患者经抗生素治疗后成功治愈，六个月的随访护理后，对患骨进行了切除并植入了髂骨。第二例患者有糖尿病史，拔除第三磨牙后，放线菌感染扩散导致髁突骨折。由于抗生素未能阻止病情恶化，该患者接受了人γ球蛋白治疗。随后，所有炎症迹象逐渐消失，一年多来无复发迹象。骨折部位未出现自发骨性愈合。
