PROLİFERATİF PERİOSTİTİS (GARRE OSTEOMİYELİTİ): LİTERATÜR DERLEMESİ VE OLGU BİLDİRİMİ-PROLIFERATIVE PERIOSTITIS (GARRÈ'S OSTEOMYELITIS) : REVIEW OF THE LITERATURE AND A CASE REPORT

Year 1997, Volume: 31 Issue: 2, 93 - 98, 10.08.2012

Zekai Yaman Şevket Özkal

Abstract

Özet

Garre osteomiyelili olarak da bilinen Proliferatif

Anahtar sözcükler: Proliferatif periostİtis, Garre oste-omiyeliti, mandibula, olgu sunumu.

Abstract

Proliferative periostitis, commonly known as

In this study a case of proliferative periostitis of mandible due to periapical infection originating from the lower deciduous second molar tooth in a eight-year old child is reported. All of the classical features of proliferative periostitis were seen except for tiie cutaneous fistulas with pus drainage which has been reported only in one instance. Cutaneous fistulas were completely healed after antibiotic therapy for 13 days. Expansile bony lesion of the mandible was

Key words: Proliferative periostitis, Carre's osteomyelitis, mandible, case report.

Garre's osteomyelitis, is an uncommon reaction of periosteum to low-grade infection and is characterized by new bone formation in the periosteum with radiographic onion-skin appearance. resorbed gradually and asymmetrical apperance of the face was returned to normal. Special emphasis was given to me diagnostic imaging including periapical, occlusal, panoramic, computed tomographic, and 99m Tc-MDP scintigraphic features of the lesion. Differential diagnosis of mandibular thickening due to periosteal proliferation is also discussed with a review of the literature. periostitis, periosteumun düşük dereceli enfeksiyonlara karşı gösterdiği, tabakalar halinde yeni kemik oluşumuyla karakterize nadir görülen bir hastalıktır. Bu çalışmada, sekiz yaşındaki bir erkek hastada alt süt II. nıolar diş pcriapikal enfeksiyonuna bağlı gelişen proliferatif perİostilis olgusu sunulmuştur. Proliferatif pe-rîostitisin tüm klasik bulgularına ilaveten son derece nadir izlenilen kutanöz fis tül gelişimi ve pü drenajı görülmüştür. Lezyon, antibiyotik tedavisini takiben spontan remisyonla iyileşmiş ve belirgin fasiyal asimetri oluşturan kemikte rezorpsiyon izlenmiştir. Teşhis amacıyla yararlanılan periapikal, oklıızal, panoramik ve bilgisayarlı tomografik radyografi ve 99m Tc-MDP sintigrafik tetkik bulguları irdelenerek, geniş bir literatür derlemesi eşliğinde tartışılmıştır.

Keywords

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