Treatment of chronic suppurative osteomyelitis of the mandible

被引:36
作者
van Merkesteyn, JPR
Groot, RH
van den Akker, HP
Bakker, DJ
Borgmeijer-Hoelen, AMMJ
机构
[1] Acad Hosp Leiden, Dept Oral & Maxillofacial Surg, NL-2300 RC Leiden, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Hyperbar Med, NL-1105 AZ Amsterdam, Netherlands
[3] Elkerlieck Hosp, Dept Oral & Maxillofacial Surg, Helmond, Netherlands
[4] Univ Amsterdam, Acad Med Ctr, Dept Surg & Hyperbar Med, NL-1105 AZ Amsterdam, Netherlands
关键词
mandible; osteomyelitis; surgery; hyperbaric oxygen;
D O I
10.1016/S0901-5027(97)80012-4
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Chronic suppurative osteomyelitis of the mandible is often considered difficult to treat and may lead to refractory osteomyelitis. Sixteen patients with chronic suppurative osteomyelitis of the mandible were treated with a relatively simple protocol, consisting of sequestrectomy or decortication and i.v. antimicrobial therapy for one week, followed by oral penicillin for three weeks. Only one case showed recurrence of symptoms, which was treated successfully in a second session. It is concluded that combined surgical and antimicrobial therapy should be sufficient to cure most cases of chronic suppurative osteomyelitis of the mandible.
引用
收藏
页码:450 / 454
页数:5
相关论文
共 20 条
  • [1] Addicks H W, 1984, Dtsch Z Mund Kiefer Gesichtschir, V8, P165
  • [2] ADEKEYE EO, 1985, BRIT J ORAL MAX SURG, V23, P24
  • [3] Aderhold L, 1985, Dtsch Z Mund Kiefer Gesichtschir, V9, P94
  • [4] [Anonymous], 1994, OSTEOMYELITIS JAWS O
  • [5] [Anonymous], 1991, ORAL MAXILLOFAC SURG, DOI DOI 10.1016/S1042-3699(20)30505-7
  • [6] COMBINED TREATMENT WITH ANTIBIOTIC, HEPARIN AND STREPTOKINASE - A NEW APPROACH TO THE THERAPY OF BACTERIAL OSTEOMYELITIS
    BARTKOWSKI, SB
    HECZKO, PB
    LISIEWICZ, J
    DOROZYNSKI, J
    KUREK, M
    KUSMIDERSKI, J
    KASPRZYK, J
    [J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 1994, 22 (03): : 167 - 176
  • [7] CALHOUN KH, 1988, ARCH OTOLARYNGOL, V114, P1157
  • [8] THE USE OF TOBRAMYCIN-IMPREGNATED POLYMETHYLMETHACRYLATE BEADS IN THE TREATMENT OF OSTEOMYELITIS OF THE MANDIBLE - REPORT OF 3 CASES
    CHISHOLM, BB
    LEW, D
    SADASIVAN, K
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1993, 51 (04) : 444 - 449
  • [9] CHRONIC OSTEOMYELITIS OF THE MANDIBLE IN ADULTS - A CLINICAL-STUDY OF 34-CASES
    DARAMOLA, JO
    AJAGBE, HA
    [J]. BRITISH JOURNAL OF ORAL SURGERY, 1982, 20 (01): : 58 - 62
  • [10] GROOT RH, 1995, THESIS U AMSTERDAM, P7