Document Detail


Chronic suppurative osteomyelitis of the mandible: case report.
MedLine Citation:
PMID:  16238219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Osteomyelitis of the maxillofacial skeleton is rare in developed countries such as Australia. This case report describes the successful surgical treatment of chronic suppurative osteomyelitis (CSO) of the mandible in a 75 year old man. The precipitant factor was thought to be a retained tooth root in the (right) posterior body of the mandible. METHODS: Treatment included a pre-surgical course of antibiotics (clindamycin 300mg, p.o. q.i.d. for two weeks) followed by removal of the retained root, surgical débridement of the affected bone, the intra-oral draining sinus, and resection of the cutaneous sinus tract. Specimens were taken for bacterial cultures and antibiotic sensitivity testing, and the resected tissue sent for histopathological review. RESULTS: On clinical and radiographic review at three months, the patient was well, completely symptom free and the osteomyelitis had fully resolved. CONCLUSION: This case report demonstrates the typical features of CSO. The combination of antibiotic therapy and surgical débridement was effective in the treatment of chronic suppurative osteomyelitis of the mandible utilizing intravenous sedation, and so averting the need for a general anaesthetic.
Authors:
S C Yeoh; S MacMahon; M Schifter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Australian dental journal     Volume:  50     ISSN:  0045-0421     ISO Abbreviation:  Aust Dent J     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-21     Completed Date:  2005-11-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370612     Medline TA:  Aust Dent J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  200-3     Citation Subset:  D; IM    
Affiliation:
Oral Medicine/Oral Pathology, Department of Oral Medical and Surgical Sciences, Westmead Centre for Oral Health, Westmead Hospital, Westmead, NSW. syeo0600@mail.usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Bacterial Agents / therapeutic use
Chronic Disease
Clindamycin / therapeutic use
Humans
Male
Mandibular Diseases / drug therapy,  surgery*
Oral Fistula / surgery
Oral Surgical Procedures
Osteomyelitis / drug therapy,  surgery*
Suppuration
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 18323-44-9/Clindamycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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