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Surgical management of primary chronic osteomyelitis of the jaws in children: a prospective analysis of five cases and review of the literature.
MedLine Citation:
PMID:  20978813     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Primary chronic osteomyelitis (PCO) of the jaws is an uncommon non-suppurative inflammatory disease of unknown origin. Although the disease is not age-specific, only sparse cases with onset during childhood or adolescence have been reported in the literature.
PURPOSE: This study seeks to present five cases of maxillofacial PCO in children and to evaluate the effectiveness of the applied therapeutic protocol. A review of the literature concerning diagnosis and treatment of PCO with special emphasis on surgical therapy is also performed.
PATIENTS AND METHODS: Demographic data, clinical, radiographic and histopathologic findings, blood tests results, and the treatment protocol applied to five young patients suffering from PCO and referred to the Department of Oral and Maxillofacial Surgery at "A. & P. Kyriakou Children's Hospital" over the past 5 years are presented. Decortication and contouring of the affected bone were performed; antibiotics were administered for a short period of time and the patients remained under follow-up evaluation.
RESULTS: The posterior mandible was affected in four cases and the maxilla-zygomatic bone in one case. All patients showed remission of signs and symptoms after surgical treatment. The postsurgical clinical course was uneventful in all cases. However, recurrences have been noted, as reported in the literature.
CONCLUSION: PCO of the jaws is a complex clinical entity, presenting both a diagnostic and therapeutic challenge, especially in young patients. Surgical treatment in conjunction with antibiotics and non-steroid anti-inflammatory drugs proved to be beneficial and to improve considerably the patients' quality of life. Nevertheless, exacerbation of the disease may appear and regular follow-up of the patients is required.
Authors:
Nadia Theologie-Lygidakis; Ourania Schoinohoriti; Ioannis Iatrou
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Publication Detail:
Type:  Journal Article     Date:  2010-10-27
Journal Detail:
Title:  Oral and maxillofacial surgery     Volume:  15     ISSN:  1865-1569     ISO Abbreviation:  Oral Maxillofac Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101319632     Medline TA:  Oral Maxillofac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  41-50     Citation Subset:  D; IM    
Affiliation:
University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou" Children's Hospital, Dental School, University of Athens, Athens, Greece, lygidakis-nadia@ath.forthnet.gr.
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