Clinical observations on mandibular chronic osteomyelitis: Combination therapy of decortication and intra-arterial infusion chemotherapy
Journal of the Korean Association of Oral and Maxillofacial Surgeons
;
: 350-354, 2008.
Article
in Korean
| WPRIM
| ID: wpr-101899
ABSTRACT
Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intra-arterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteosclerosis
/
Osteomyelitis
/
Arteries
/
Recurrence
/
Temporal Arteries
/
Bone Marrow
/
Infusions, Intra-Arterial
/
Communicable Diseases
/
Follow-Up Studies
/
Anesthesia, General
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Year:
2008
Type:
Article
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