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Chronic Osteomyelitis

Yıl 2010, Cilt: 3 Sayı: 4, 476 - 480, 01.01.2010

Öz

Osteomyelitis is an inflammatory condition of bone and bone marrow that develops in the jaws after a chronic odontogenic infection, trauma, tooth extraction or for a variety of other reasons. It is more common in the mandibula than the maxilla because of the dense, poorly vascularized cortical plates and the single blood supply from the inferior alveolar neurovascular bundle. The disease may be acute, subacute or chronic. Chronic osteomyelitis may become a refractory condition in the oral and maxillofacial region. Therefore, correct diagnosis of osteomyelitis is crucial. Therapy requires multidisciplinary approach. Chronic suppurative osteomyelitis can be treated by a combination of antimicrobial therapy and surgery consisting of sequestrectomy or decortication. Hyperbaric oxygen is often recommended as an adjunct in treatment of this disease. The aim of this report is to present a case of chronic suppurative osteomyelitis seen in a 21 years old male patient diagnosed by clinical, radiological and histological examination

Kaynakça

  • Bevin CR, Inwards CY, Keller EE. Surgical mana- gement of primary chronic osteomyelitis: a long term retrospective analysis. J Oral Maxillofacial Surg 66:2073-2085, 2008.
  • Scully C.Oral and Maxillofacial Medicine. Elsevi- er 3 nd 2004, 450-1.
  • Dramola JO, Ajagbe HA. Chronic osteomyelitis of the mandible in adults: a clinical study of 34 cases. Br J Oral Surg. 20:58-62, 1982.
  • Kim SG, Jang HS. Treatment of chronic osteom- yelitis in Korea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod .92:394-398, 2001.
  • Topazian RG.Oral And Maxillofacial Infections. Elsevier.2002,Chapter 10,214.
  • Hudson JW. Osteomyelitis of the jaws. J Oral Maxillofacial Surg .51:1294-1301,1993
  • Merkesteyn JPR, Groot RH, Akker HP, Bakker DJ, Hoelen Borgmeijer AMMJ. Treatment of chronic suppurative osteomyelitis of the mandibula. Int J Oral Maxillofac Surg. 26:450-454, 1997
  • Adekeye EO, Cornah J. Osteomyelitis of the jaws: a review of 141 cases. Br J Oral Maxillofac Surg. 23: 24-35, 1985.
  • Harorlı A, Yılmaz B, Akgül M.Diş Hekimliğinde Radyolojide Temel Kavramlar ve Radyodiagnos- tik. 2001, 300.
  • Suei Y, Tanimoto K, Taguchi A, Wada T, Ishikawa T. Chronic recurrent multifocal osteomyelitis invol- ving the mandible. Oral Surg Oral Med Oral Pat- hol Oral Radiol Endod. 78:156-162, 1994.
  • Seto BG, Lynch SR, Moy PK. Chronic osteomyelitis of mandible caused by penicillin-resistant Bacte- roides ruminicola. Oral Surg Oral Med Oral Pat- hol Oral Radiol Endod . 61:29-31,1986.
  • Calhoun KH, Shapiro RD, Stıernberg CM, Cal- houn JM, Mader JT. Osteomyelitis of the mandib- le. Arch Otolarngol Head Neck Surg .114:1157- 1162, 1988.
  • Marx RE. Chronic osteomyelitis of the jaws. Oral Maxillofac Surg Clin North Am . 3:367-381,1991
  • Baltensperger M, Eyrich GK.Osteomyelitis of the Jaws. Springer 2008, 172.
  • Fullmer JM, Scarfe WC, Kushner GM, Alpert B, Farman AG. Cone beam computed tomographic findings in refractory chronic suppurative osteom- yelitis of the mandible. Br J Oral Maxillofac Surg. 45:364-371, 2007.
  • Yücetaş Ş. Ağız ve Çevre Dokusu Hastalıkları.At- las kitapçılık 2005, 180.
  • Pigrau C, Almirante B, Radriquez D, Larrosa N, Bescos S. Osteomyelitis of the jaw; resistance to clindamycin in patients with prior antibiotics ex- posure. Eur. J. Clin. Microbial Infect Dis. 28: 317- 23, 2009.
  • Rohlin M. Diagnostic value of bone scintigraphy in osteomyelitis of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod .75:650- 657, 1993.
  • Montonen M, Iizuka T, Hallikainen D, Lindqvist C. Decortication in the treatment of diffuse sclero- sing osteomyelitis of the mandible. Retrospective analysis of 41 cases between 1969 and 1990. Oral Surg Oral Med Oral Pathol Oral Radiol En- dod . 75:5-11, 1993.
  • Bartkowski SB, Heczko PB, Lısıewicz J, et al. Combined treatment with antibiotic, heparin and streptokinase – a new approach to the therapy of bacterial osteomyelitis. J Craniomaxillofac Surg 1994; 22:167-176.

Kronik Osteomiyelit

Yıl 2010, Cilt: 3 Sayı: 4, 476 - 480, 01.01.2010

Öz

Osteomiyelit OM kronik odontojenik enfeksiyon, travma, diş çekimi v.b sonrası mikroorganizmaların çene kemiklerine inokülasyonu ile gelişen kemik ve kemik iliğinin iltihabi durumudur. Mandibulanın dens yapısı, kortikal kemiğin vaskülarizasyonunun maksillaya oranla az olması ile mandibulanın beslenmesini sadece alt alveoler nörovasküler yapıdan sağlaması mandibulada OM’in daha çok görülmesinin sebepleridir. OM; akut, subakut ya da kronik seyirli olabilir. Kronik OM oral ve maksillofasiyal bölgede inatçı seyreden bir tablo gösterebilir. Bu nedenle OM’in doğru teşhisi çok önemlidir.OM tedavisinde multidisipliner yaklaşım gerekmektedir. Özellikle uzun dönem seyreden inatçı OM’lerde antimikrobiyal tedavinin yanı sıra, sekestrotomi ve dekortikasyonu içeren cerrahi tedavi ile yardımcı tedavi olarak hiperbarik oksijen uygulaması düşünülmelidir.Bu vaka sunumunda 21 yaşındaki erkek kronik osteomiyelit hastasının klinik, radyografik ve histolojik incelemeleri ve değerlendirmelerine yer verilmektedir

Kaynakça

  • Bevin CR, Inwards CY, Keller EE. Surgical mana- gement of primary chronic osteomyelitis: a long term retrospective analysis. J Oral Maxillofacial Surg 66:2073-2085, 2008.
  • Scully C.Oral and Maxillofacial Medicine. Elsevi- er 3 nd 2004, 450-1.
  • Dramola JO, Ajagbe HA. Chronic osteomyelitis of the mandible in adults: a clinical study of 34 cases. Br J Oral Surg. 20:58-62, 1982.
  • Kim SG, Jang HS. Treatment of chronic osteom- yelitis in Korea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod .92:394-398, 2001.
  • Topazian RG.Oral And Maxillofacial Infections. Elsevier.2002,Chapter 10,214.
  • Hudson JW. Osteomyelitis of the jaws. J Oral Maxillofacial Surg .51:1294-1301,1993
  • Merkesteyn JPR, Groot RH, Akker HP, Bakker DJ, Hoelen Borgmeijer AMMJ. Treatment of chronic suppurative osteomyelitis of the mandibula. Int J Oral Maxillofac Surg. 26:450-454, 1997
  • Adekeye EO, Cornah J. Osteomyelitis of the jaws: a review of 141 cases. Br J Oral Maxillofac Surg. 23: 24-35, 1985.
  • Harorlı A, Yılmaz B, Akgül M.Diş Hekimliğinde Radyolojide Temel Kavramlar ve Radyodiagnos- tik. 2001, 300.
  • Suei Y, Tanimoto K, Taguchi A, Wada T, Ishikawa T. Chronic recurrent multifocal osteomyelitis invol- ving the mandible. Oral Surg Oral Med Oral Pat- hol Oral Radiol Endod. 78:156-162, 1994.
  • Seto BG, Lynch SR, Moy PK. Chronic osteomyelitis of mandible caused by penicillin-resistant Bacte- roides ruminicola. Oral Surg Oral Med Oral Pat- hol Oral Radiol Endod . 61:29-31,1986.
  • Calhoun KH, Shapiro RD, Stıernberg CM, Cal- houn JM, Mader JT. Osteomyelitis of the mandib- le. Arch Otolarngol Head Neck Surg .114:1157- 1162, 1988.
  • Marx RE. Chronic osteomyelitis of the jaws. Oral Maxillofac Surg Clin North Am . 3:367-381,1991
  • Baltensperger M, Eyrich GK.Osteomyelitis of the Jaws. Springer 2008, 172.
  • Fullmer JM, Scarfe WC, Kushner GM, Alpert B, Farman AG. Cone beam computed tomographic findings in refractory chronic suppurative osteom- yelitis of the mandible. Br J Oral Maxillofac Surg. 45:364-371, 2007.
  • Yücetaş Ş. Ağız ve Çevre Dokusu Hastalıkları.At- las kitapçılık 2005, 180.
  • Pigrau C, Almirante B, Radriquez D, Larrosa N, Bescos S. Osteomyelitis of the jaw; resistance to clindamycin in patients with prior antibiotics ex- posure. Eur. J. Clin. Microbial Infect Dis. 28: 317- 23, 2009.
  • Rohlin M. Diagnostic value of bone scintigraphy in osteomyelitis of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod .75:650- 657, 1993.
  • Montonen M, Iizuka T, Hallikainen D, Lindqvist C. Decortication in the treatment of diffuse sclero- sing osteomyelitis of the mandible. Retrospective analysis of 41 cases between 1969 and 1990. Oral Surg Oral Med Oral Pathol Oral Radiol En- dod . 75:5-11, 1993.
  • Bartkowski SB, Heczko PB, Lısıewicz J, et al. Combined treatment with antibiotic, heparin and streptokinase – a new approach to the therapy of bacterial osteomyelitis. J Craniomaxillofac Surg 1994; 22:167-176.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Case Report
Yazarlar

Bengi Öztaş Bu kişi benim

Şebnem Kurşun Bu kişi benim

Kıvanç Kamburoğlu Bu kişi benim

Ümit Karaçaylı Bu kişi benim

Tuncer Özen Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 3 Sayı: 4

Kaynak Göster

Vancouver Öztaş B, Kurşun Ş, Kamburoğlu K, Karaçaylı Ü, Özen T. Kronik Osteomiyelit. ADO Klinik Bilimler Dergisi. 2010;3(4):476-80.