GARRE OSTEOMYELITIS: A CASE REPORT

Year 2014, 2014: Supplement 9, 49 - 53, 11.02.2015

Merve Erişen Özlem Bayar Gülsüm Ak

https://doi.org/10.17567/dfd.52303

Abstract

Garré’s osteomyelitis (GO) is a type of osteomyelitis adolescents. GO is most commonly reported in body of mandible; apart from the mandible the most common bone to be involved in GO is femur. Although the disease is well described in dental literature and is usually associated with an odontogenic infection originates form caries, a number of other causative factors have been occasionally reported, such as previous dental extraction in the lesion area, mild periodontitis or dental eruption. GO is characterized with peripheral subperiosteal bone deposition caused by mild irritation or infection. Management involves removal of the source of infection and antibiotic treatment. This case report presents an unusual case of Garré’s osteomyelitis affecting the mandible of a 12-year-old female. 

Keywords

Garré’s osteomyelitis, Nonsuppurative chronic osteomyelitis, Mandible

GARRE OSTEOMYELİTİ: BİR OLGU SUNUMU

Abstract

Garré osteomyeliti genellikle çocuklarda ve ergenlik çağındaki bireylerde görülen osteomyelit tipidir. Garré osteomyeliti’nin en sık görüldüğü kemik mandibula korpusudur, bunu femur takip eder. Literatürde iyi tanımlanmış olan bu hastalık çürük kaynaklı odontojenik enfeksiyonlarla ilişkili bulunmakla birlikte lezyon bölgesinden daha önce diş çekimi yapılmış olması, hafif periodontitis veya diş sürmesi gibi bir çok farklı neden de literatürde yerini almıştır. Garré osteomyeliti orta derece irritasyon ya da infeksiyondan kaynaklanan periferal subperiostal kemik depozisyonuyla karakterizedir. Tedavisinde enfeksiyon nedenini ortadan kaldırmak ve antibiyotik tedavisi yer alır. Bu vaka raporunda 12 yaşındaki kız çocuğunda mandibulada nadir görülen Garré osteomyeliti sunulmuştur.

Keywords

Garré osteomyeliti, Nonsüpüratif kronik osteomyelit, Mandibula

References

• Kadom N, Egloff A, Obeid G, Bandarkar A, Vezina G. Juvenile mandibular chronic osteomyelitis: multimodality imaging findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;11:e38-e43
• Oulis C, Berdousis E. Vadiakas G, Goumenos G. Garré’s osteomyelitis of an unusual origin in a 8- year-old child. A case report. International Journal of Paediatric Dentistry 2000; 10: 240-4
• Kannan SK, Sandhya G, Selvarani R. Periostitis ossificans (Garrè’s osteomyelitis) radiographic study of two cases. International Journal of Paediatric Dentistry 2006; 16: 59–64
• Küçükkolbaşı H, Esen A, Ataoğlu H. Periostitis ossifikans (Garré osteomiyeliti): iki olgu sunumu. SÜ Dişhek Fak. Derg 2007;16:42-5 5. Chun CSY, Chronic Recurrent Multifocal Osteomyelitis of the Spine and Mandible: Case Report and Review of the Literature. Pediatrics 2004;113;e380
• Oliveira LSAF, Oliveira TFL, Melo DP, Menezes AV, Crusoé-Rebello I, Campos PSF. Computed tomography findings of periostitis ossificans. Braz J Oral Sci, Vol. 9, No. 1, January-March, 2010, pp. 59-62
• Suma R, Vinay C, Shashikanth M C, Subba Reddy V V. Garré's sclerosing osteomyelitis. J Indian Soc Pedod Prev Dent 2007;25:30-3
• Martin-Granizo R, Garcia-Gonzalez D, Sastre J, Diaz FJ. Mandibular sclerosing osteomyelitis of Garré. Otolaryngol Head Neck Surg 1999; 121: 828-9
• Tong ACK, Ng IOL, Yeung KMA. Osteomyelitis with proliferative periostitis: an unusual case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102:e14-e19
• Huber AM, Lam PL, Duffy CM, Yeung RSM, Ditchfield M, Laxer D, Cole WG, Graham HK, Allen RC, Laxer RM. Chronic recurrent multifocal osteomyelitis: Clinical outcomes after more than five years of follow-up. J Pediatr 2002;141:198- 203
• Nakano H, Miki T, Aota K, Sumi T, Matsumoto K, Yura Y. Garré's Osteomyelitis of the Mandible Caused by an Infected Wisdom Tooth. Oral Science International. Nov 2008; 5; 150–4
• Kawai T, Murakami S, Sakuda M, Fuchihata H. Radiographic investigation of mandibular periostitis ossificans in 55 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:704-12
• Belli E, Matteini C, Andreano T. Sclerosing Osteomyelitis Of Garré Periostitis Ossificans. The Journal Of Craniofacial Surgery 2002;13: 765-8
• Lichty G, Langlais RP, Aufdemorte T: Garrè’s osteomyelitis: Literature review and case report. Oral Surg Oral Med Oral Pathol 1980; 50:309.
• Lincoln TA, Webber SJ. An Extremely Unusual Case of Garrè’s Osteomyelitis of the Mandibular Condyle After Surgical Removal of Third Molars. J Oral Maxillofac Surg 2012; 70: 2748-51
• Kuijpers SCC, Jong E, Hamdy NAT, van Merkesteyn JPR. Initial results of the treatment of diffuse sclerosing osteomyelitis of the mandible with bisphosphonates. Journal of Cranio-Maxillo- Facial Surgery 2011; 39: 65-8
• Yamazaki Y, Satoh C, Ishikawa M, Notani K, Nomura K, Kitagawa Y Remarkable response of juvenile diffuse sclerosing osteomyelitis of mandible to pamidronate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:67-71
• Migliorati CA, Siegel MA, Elting LS, et al: Bisphosphonate- associated osteonecrosis: A long- term complication of bisphosphonate treatment. Lancet Oncol 2006; 7:508.
• Öztaş B, Kurşun Ş, Kamburoğlu K, Karaçay Ü, Özen T. Kronik Osteomyelit: Bir Olgu Sunumu. ADO Klinik Bilimler Dergisi 2010;3,4:474-8.
• Şimşek Kaya G, Yalçın E, Aras M.H, Gürkan N. Kronik Osteomyelitin Postoperatif Komplikasyonu ve Tedavisi:Vaka Raporu. J Dent Fac Atatürk Uni 2011; 21,1: 39-42.