1.Post-traumatic Osteomyelitis.
OogJin SHON ; Eun Seok KWAK ; Man Ho LEE
Journal of the Korean Fracture Society 2010;23(1):122-136
No abstract available.
Osteomyelitis
3.Chronic Tibial Osteomyelitis in Children. A Case Review at Hospital Tengku Ampuan Afzan, Kuantan
Mohd Shukrimi Awang ; Mohd Ariff Sharifudin ; Zamzuri Zakaria ; Mai Nurul Ashikin Taib
The Medical Journal of Malaysia 2015;70(1):48-51
Osteomyelitis in children has various clinical manifestations
causing diagnostic and therapeutic difficulties.
Inappropriate treatment of acute osteomyelitis may lead to
chronic, serious and complicated condition. Chronic
osteomyelitis continues to be a major cause of morbidity
and disability in children living in developing countries. We
present three cases of tibial osteomyelitis that have different
presentations and sequalae. Our intention is to alert our
colleagues, particularly primary physicians, regarding the
variety of presentation and the important of early diagnosis
and treatment to reduce the risk of morbidity following
osteomyelitis.
Osteomyelitis
4.Treatment of acute, subacute and chronic osteomyelitis by using antibiotic impregnated bone cement beads.
Joo Chul IHN ; Byung Chal PARK ; Il Hyung PARK ; Seok HAN
The Journal of the Korean Orthopaedic Association 1993;28(3):1207-1214
No abstract available.
Osteomyelitis*
5.Clinical observation of Osteomyelitis in Childhood.
Seong Gyoo PARK ; Young Suk HONG ; Se Jin KANG ; Sun Gyum KIM ; Pyung Hwa CHOI
Journal of the Korean Pediatric Society 1990;33(4):499-505
No abstract available.
Osteomyelitis*
6.Tc99m-Besilesomab With the Added Benefit of Single Photon Emission Computed Tomography/Computed Tomography (SPECT/CT): Current Role in Infection Detection and Localisation
Malaysian Journal of Medicine and Health Sciences 2018;14(Supplement 1):50-57
Introduction: Imaging modality has become increasingly important in hospital setting especially in cases of unknown site of infection/pyrexia of unknown origin (PUO) and osteomyelitis (OM). In recent years, nuclear imaging has been used and is known to deliver prompt and precise diagnoses of numerous infectious diseases. The purpose of the study is to detect and localise the site of infection using Tc99m-besilesomab and to assess the added contributions of single photon emission computed tomography/computed tomography (SPECT/CT) over planar scan in patients with PUO and OM. Methods: Tc99m-besilesomab with SPECT/CT were prospectively performed in 23 patients (eight males, 15 females) with suspected infection. True findings were diagnosed by both cold and hot spot in the scan with reference to positive blood or tissue cultures, or other additional imaging. Results: Tc99m-besilesomab managed to detect presence of infection with high sensitivity of 87.5% and specificity of 71.4%. Interobserver variability agreement that was obtained between the presence of infection and the ability of Tc99m-besilesomab imaging to detect it was significant (p<0.05), Kappa=0.7. SPECT/CT has increased the detection sensitivity by 6.3% and specificity by 28.6%. Out of 23 patients, 15 had true positive, seven had true negative and only one patient had false negative study. SPECT/CT has changed the management in one patient which was missed by planar imaging. Conclusions: Indeed, SPECT/CT has further increased the detection sensitivity and specificity, provides extra information of the anatomical location and the extent of involvement of the disease as compared to planar imaging alone.
Osteomyelitis
7.Reliability of the Penny and Beit CURE Radiologic Classifications of Pediatric Patients with Chronic Hematogenous Osteomyelitis in the Philippine General Hospital
Karla Teresa S. Araneta ; Juanito S. Javier
Acta Medica Philippina 2021;55(3):441-355
OBJECTIVE: This study aimed to evaluate the inter- and intraobserver reliability of the Penny and Beit CURE radiologic classifications of pediatric patients with Chronic Hematogenous Osteomyelitis (CHOM) in the Philippine General Hospital (PGH).
METHODS: Thirty-four pre-operative radiographs of PGH pediatric patients with CHOM were classified by seven orthopedic surgeons using both Penny and Beit CURE Classification systems. Two sets of radiographs were sent to the surgeons twice, four weeks apart, to classify. The Fleiss and Cohen κ statistics were used to determine inter- and intraobserver reliabilities, respectively.
RESULTS: The Penny Classification had a slight to fair interobserver reliability (Fleiss κ = 0.17 and 0.24) and a fair intraobserver reliability (Cohen κ =0.35) with a 49.58% average intraobserver agreement. The interobserver reliability when including all Beit CURE classification subtypes was fair (κ = 0.28 and 0.31). This improved to moderate (κ = 0.41 and 0.54) when using only the four main types of the Beit CURE classification with a 77.31% intraobserver agreement.
CONCLUSION: The Beit CURE classification for pediatric CHOM had higher inter- and intraobserver agreement rates than the Penny classification. Further improvement in reliability can be made by combining B2 and B3 subtypes under the Beit CURE classification.
Osteomyelitis
8.A Case of External Approach Treatment of Pott's Puffy Tumor.
Jae Ho KANG ; Kyung Min CHOI ; Jung Min KIM ; Seung Woo KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2010;53(6):371-373
Pott's puffy tumor is a rare clinical entity, which has been described as a subperiosteal abscess in the frontal bone secondary to frontal osteomyelitis. Pott's puffy tumor can be associated with venous thrombosis, epidural abscess, subdural empyema, and brain abscess. In the present paper, we describe our experience of treating a 59-year old man who complained of a headache and a swelling of forehead. Because of bilateral lesion and obstruction of frontal recess, an external approach of the frontal sinus was carried out. To our knowledge, this is the first report of Pott's puffy tumor involving the bilateral frontal sinus.
Abscess
;
Brain Abscess
;
Empyema, Subdural
;
Epidural Abscess
;
Forehead
;
Frontal Bone
;
Frontal Sinus
;
Headache
;
Osteomyelitis
;
Pott Puffy Tumor
;
Venous Thrombosis
9.Endoscopic Endonasal Treatment of a Pott's Puffy Tumor.
Jinho JUNG ; Hak Chun LEE ; Il Ho PARK ; Heung Man LEE
Clinical and Experimental Otorhinolaryngology 2012;5(2):112-115
Pott's puffy tumor is an infrequent entity characterized by a subperiosteal abscess associated with frontal bone osteomyelitis. It has become rare due to the development of antibiotics and is usually seen as a complication of frontal sinusitis. Although Pott's puffy tumor is more commonly described in children, it should also be included in the differential diagnosis of swelling on the forehead in adults. Once the diagnosis is suspected, appropriate imaging should be performed to evaluate the possible complications. The treatment of Pott's puffy tumor combines medical and surgical approaches in order to prevent further complications. The goal of surgery is to drain the sinus and to excise the infected bone if necessary. The endoscopic endonasal approach is a safe and effective alternative to the external approach. This report describes the case of a 25-year-old man with Pott's puffy tumor resulting from frontal sinusitis.
Abscess
;
Adult
;
Anti-Bacterial Agents
;
Child
;
Diagnosis, Differential
;
Endoscopy
;
Forehead
;
Frontal Bone
;
Frontal Sinus
;
Frontal Sinusitis
;
Humans
;
Osteomyelitis
;
Pott Puffy Tumor
10.Acute Frontal Osteomyelitis Managed by Endoscopic Sinus Surgery: A Case Report.
Tae Young JANG ; Sun Ki PARK ; Dong Hak JUNG
Korean Journal of Otolaryngology - Head and Neck Surgery 2001;44(8):833-836
Frontal osteomyelitis, frequently characterized by the classical sign of Pott's puffy tumor, is a serious life-threatening complication of frontal sinus infection. Anterior extension of the frontal sinus infection leads to osteomyelitis of the frontal bone and subperiosteal abscess. Surgical options are necessitated by the location and extent of infection, and include trephination, frontal sinus obliteration, and craniotomy. Recent advances in endoscopic sinus surgery have provided surgeons another access to the frontal recess. Examination of the frontal recess and removal of obstructive ethmoidal cells or diseased mucosa becomes feasible with nasal endoscopes. We report a recent encounter with a case of frontal osteomyelitis managed by endoscopic sinus surgery in a 22-year-old healthy male. We think that endoscopic sinus surgery is a good approach which can be carried out for the treatment of frontal sinus diseases and its complication.
Abscess
;
Craniotomy
;
Endoscopes
;
Endoscopy
;
Frontal Bone
;
Frontal Sinus
;
Frontal Sinusitis
;
Humans
;
Male
;
Mucous Membrane
;
Osteomyelitis*
;
Pott Puffy Tumor
;
Trephining
;
Young Adult