Chronic suppurative jaw osteomyelitis: fact finding study of the cases
- Author:
Davaadorj P
1
Author Information
1. Department of Oral and Maxillofacial Surgery,First Central Hospital of Mongolia First Central Hospital of Mongolia
- Publication Type:Journal Article
- Keywords:
Suppurative jaw, osteomyelitis, odondogenic infection
- From:Innovation
2018;12(4):47-
- CountryMongolia
- Language:Mongolian
-
Abstract:
Osteomyelit is an inflammatory disease of the bone that usually begins as an infection of the medullary cavity, rapidly involves the haversian system, and quickly extends to the periosteum of the area. It develops in the jaws after a chronic odontogenic infection or for a variety of other reasons such as trauma, inadequate treatment of fracture and dental infection, or irradiation to the mandible. When antimicrobial agents or drainage prove unsuccessful, acute osteomyelitis may become chronic and infection spreads. Early recognition and treatment are essential, however due to not enough specialists at Province, patients refer to ОМS specialist in late stage.
Due to this, in some cases surgeon do jaw resection including the ramus and condular head. At Department of Oral and Maxillofacial Surgery, First Central Hospital we treat about 90 cases of osteomyelit every year, and about 10-15 cases of them are these kind severe jaw osteomyelitis. Conventional radiography, culture, bone biopsy, radioisotope bone scan, laser Doppler flowmetry, computed tomography, and magnetic resonance imaging are used for its diagnosis. We present a case of chronic suppurative osteomyelitis associated with a draining extraoral sinus, which was successfully treated with surgical debridement and mandibular condylar replacement with reconstruction plate and bicortical screws using AO principles.
