Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제34권3호
  • /
  • Pages.350-354
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  • 2008
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

만성경화성 하악골골수염의 임상적검토 - 외측피질골제거술 및 동주요법(국소화학요법) 병용의 증례에 관하여 -

CLINICAL OBSERVATIONS ON MANDIBULAR CHRONIC OSTEOMYELITIS - COMBINATION THERAPY OF DECORTICATION AND INTRA-ARTERIAL INFUSION CHEMOTHERAPY -

  • Yuichiro, Kuroiwa (First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-gakuin University) ;
  • Hiroaki, Matsuura (First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-gakuin University) ;
  • Atsushi, Abe (First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-gakuin University) ;
  • Mugio, Kato (First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-gakuin University) ;
  • Yoshiko, Ariji (Department of Oral and Maxillofacial Radiology, School of Dentistry, Aichi-gakuin University) ;
  • Kenichi, Kurita (First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-gakuin University)
  • 발행 : 2008.06.30
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초록

Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.

키워드

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