Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

CONSERVATIVE TREATMENT OF CHRONIC SUPPURATIVE OSTEOMYELITIS ON MANDIBULAR BODY TO CONDYLE AREA: A CASE REPORT

하악 체부에서 과두부까지 이환된 만성 화농성 골수염 환자의 보존적 외과술식을 이용한 치험례

  • Lee, Dae-Jeong (Department of oral and maxillofacial surgery, School of Dentistry, Wonkwang University) ;
  • Choi, Moon-Ki (Department of oral and maxillofacial surgery, School of Dentistry, Wonkwang University) ;
  • Oh, Seung-Hwan (Department of oral and maxillofacial surgery, School of Dentistry, Wonkwang University) ;
  • Lee, Jong-Bok (Department of oral and maxillofacial surgery, School of Dentistry, Wonkwang University)
  • 이대정 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 최문기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 이종복 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

These is a cases of chronic suppurative osteomyelitis occurred in the mandibular body to condyle of 48-year-old male patient. Extensive bone destruction was noted on the right mandibular body, angle, ascending ramus, mandibular notch and condylar region. We made a treatment plan that radicular mandibular resection from body to condyle and mandibular reconstruction with vascularized fibular flap at first time. But, we could observe marked bone regeneration with only mild curettage, local wound care and massive antibiotic therapy. So we preserved the anterior ramus portion of mandible. Defected mandibular condyle was reconstructed with costochondral graft. In this paper we present the case of a patient who has chronic osteomyelitis in mandibular area.

Keywords

References

  1. Bernier S, Clermont S, Maranda G, Turcotte JY : Osteomyelitis of the jaws. J Can Dent Assoc 1995;61:441-442, 445-448
  2. Miloro M, Ghali GE, Larsen P et al. Peterson's Principles of Oral and Maxillofacial Surgery, 2nd Eddition, Hamilton, BC Decker, 2004
  3. Hjorting-Hansen E: Decortication in treatment of osteomyelitis of the mandible. Oral Surg 1970;29:641-655 https://doi.org/10.1016/0030-4220(70)90259-8
  4. Kim MS, Kim SG, Yeo HH et al. Clinical study of chronic osteomyelitis, J Kor Oral Maxillofac Surg 2000;26:514-518
  5. Fullmer JM, Scarfe WC, Kushner GM et al. Cone beam computed tomographic finding in refractory chronic suppuratice osteomyelitis of the mandible, British J of Oral and Maxillofacial Surgery 2007;45:364-371 https://doi.org/10.1016/j.bjoms.2006.10.009
  6. Reinert S, Widlitzek H, Venderink DJ. The value of magnetic resonance imaging in the diagnosis of mandibular osetomyelitis, Br J Oral Maxillofac Surg 1999;37:459-463 https://doi.org/10.1054/bjom.1999.0200
  7. Wannfors K, GAzelius B : Blood flow in jaw bones affected by chronic osteomyelitis. Br J Oral Maxillofac Surg 1991;29:147-153 https://doi.org/10.1016/0266-4356(91)90026-2
  8. Ylikontiola L, Altonen M, Uhari M, Tiilikainen A, Oikarinen K :Chronic sclerosing osteomyelitis of the mandible in monozygotic twins. Int J Oral maxillofac Surg 1994;23:359-362 https://doi.org/10.1016/S0901-5027(05)80055-4
  9. Nakai M, Okada Y, Iwashima Y, Mori M : A case of impacted first with chronic mandibular osteomyelitis. Int J Oral Surg 1981;10:279-282 https://doi.org/10.1016/S0300-9785(81)80072-5
  10. Khosla VM, Rosenfield H, Berk LH : Chronic osteomyelitis of the mandible. J Oral Surg 1971;29:649-658
  11. Adekeye EO, Cornah J : Osteomyelitis of the jaws: A review of 141cases. Br J Oral Maxillofac Surg 1985;23:24-35 https://doi.org/10.1016/0266-4356(85)90075-0
  12. Sano K, Asoh H, Yoshida S, Inokuchi T : Preauricular mass presenting as a sign of osteomyelitis of the temporal bone. J Oral Maxillofac Surg 1998;56:1349-1352 https://doi.org/10.1016/S0278-2391(98)90621-8
  13. Wannfors K, Hammarstrom L : A proliferative inflammation in the mandible caused by implantation of an infected dental root. A possible experimental model for chronic osteomyelitis. Int J Oral Maxillofac Surg 1998;18:179-183 https://doi.org/10.1016/S0901-5027(89)80122-5
  14. Wannfors K. Hammarstrom L : Infectious foci in chronic osteomyelitis of the jaws. Int J Oral Surg 1998;14:493-503 https://doi.org/10.1016/S0300-9785(85)80055-7
  15. Marx RE：Chronic osteomyelitis of the jaws. In：Oral Maxillofac Surg Clin North Am 1991;3:367-381
  16. Grime PD, Bowerman JE, Weller PJ : Gentamicin impregnanate polymethylmethacrylate (PMMA) beads in the treatment of primary chronic osteomyelitis of the mandible. Br J Oral Maxillofac Surg 1998;28:367-374 https://doi.org/10.1016/0266-4356(90)90033-H
  17. Wannrors K, Hammarstrom L : Infectious foci in chronic osteomyelitis of the jaws. Int J Oral Surg 1998;14:493-503 https://doi.org/10.1016/S0300-9785(85)80055-7
  18. Hudson JW. Osteomyelitis and osteoradionecrosis. In: Fonseca RJ, editor. Oral and maxillofacial surgery. Vol 5. Philadelphia (PA): W.B.Saunders,2000
  19. Daramola JO, Ajagbe HA : Chronic osteomyelitis of the mandible in adults: A clinical study of 34 cases. Br J Oral Surg 1998;20:58-62 https://doi.org/10.1016/0007-117X(82)90008-7
  20. Gold RH, Hawkins RA, Katz RD：Bacterial osteomyelitis： findings on plain radiography, CT, MR, and scintigraphy. Am J Roentgenol 1991;157:365-370 https://doi.org/10.2214/ajr.157.2.1853823
  21. Hudson JW : Osteomyelitis of the jaws. J Oral Maxillofac Surg 1998;51:1294-1301 https://doi.org/10.1016/S0278-2391(10)80131-4
  22. Marx RE. Pamidronate and zoledronate induced avascular necrosis of the jaws, J Oral Maxillofac Surg 2003;61:1115-1118 https://doi.org/10.1016/S0278-2391(03)00720-1