GARRÉ'S SCLEROSING OSTEOMYELITIS – A RARE CASE REPORT

Abstract

Garre's osteomyelitis (GO) is a rare chronic inflammatory disease characterized by periosteal reactions and new bone formation due to bacterial odontogenic infection. This disease, which usually affects children and young people, occurs in the jaw bones such as the mandible, especially in the premolar and molar regions. Clinically, it is characterized by facial asymmetry and hard swelling in the jaw area. The radiographic finding known as “onion skin” appearance is typical for GO. In this case report, we describe a 10-year-old male patient with GO arising from the right mandibular first molar. Facial asymmetry and hard swelling in the mandibular region were observed; radiologic examination revealed periosteal reaction and new bone formation. The affected tooth was extracted, antibiotic treatment was administered and the bone contours returned to normal after 9 months of follow-up. Elimination of the source of infection, antibiotic treatment and promotion of bone healing are essential in the treatment of GO. This case is an important example for clinical approaches in the diagnosis and treatment of GO.

Keywords

• garre's osteomyelitis
• periosteal reaction
• mandible

GARRE’NİN SKLEROZAN OSTEOMYELİTİ- NADİR GÖRÜLEN VAKA RAPORU

Abstract

Garre osteomiyeliti (GO), bakteriyel odontojenik enfeksiyona bağlı periosteal reaksiyonlar ve yeni kemik oluşumu ile karakterize, nadir görülen kronik inflamatuar bir hastalıktır. Genellikle çocukları ve gençleri etkileyen bu hastalık, mandibula gibi çene kemiklerinde, özellikle premolar ve molar bölgelerde görülür. Klinik olarak genellikle yüz asimetrisi ve çene bölgesinde sert şişlik ile kendini gösterir. "Soğan kabuğu" görünümü olarak bilinen radyografik bulgu, GO için tipiktir. Bu olgu sunumunda, 10 yaşındaki erkek hastada sağ mandibular birinci molar dişe bağlı olarak gelişen GO tanımlanmıştır. Hastada yüz asimetrisi ve mandibular bölgede sert şişlik gözlenmiş; radyolojik incelemede periosteal reaksiyon ve yeni kemik oluşumu saptanmıştır. Tedavi olarak ilgili diş çekilmiş, antibiyotik tedavisi uygulanmış ve 9 aylık takipte kemik konturlarının normale döndüğü görülmüştür. GO tedavisinde enfeksiyon kaynağının giderilmesi, antibiyotik tedavisi ve kemik iyileşmesinin desteklenmesi esastır. Çocuklarda erken teşhis ve uygun tedavi, büyüme çağındaki kemik sağlığı için kritik öneme sahiptir. Bu vaka, GO’nun tanı ve tedavisindeki klinik yaklaşımlar için önemli bir örnek teşkil etmektedir.

Keywords

• garre osteomyeliti
• periost reaksiyonu
• mandibula

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