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. 2012 Mar;11(1):57-66.
doi: 10.1007/s12663-011-0283-0. Epub 2011 Oct 2.

Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population

Ranjit Kumar Peravali  1 , Bhushan Jayade, Abhijit Joshi, Mahantesh Shirganvi, C Bhasker Rao, K Gopalkrishnan
Affiliations

Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population

Ranjit Kumar Peravali et al. J Maxillofac Oral Surg. 2012 Mar.

Abstract

Objectives: To retrospectively analyze all patients who were diagnosed with Osteomyelitis of jaws in our unit.

Study design: 31 patients with Osteomyelitis of jaws were analyzed retrospectively from 2002 to 2008 at the Department of Oral & Maxillofacial Surgery, S.D.M College of dental sciences and hospital, Dharwad, India. Parameters considered were age, gender, jaws involved, clinical features, surgical management & complications.

Results: Of the 31 patients, maxilla was involved in 16 patients and mandible was involved in the remaining 15. 11 out of the 16 patients with maxillary osteomyelitis were immuno-compromised. The predominant etiology noted was odontogenic infection. With the treatment protocol we have adopted, all our patients showed satisfactory resolution of the condition by 6 weeks.

Conclusion: Incidence of maxillary osteomyelitis & their association with diabetes mellitus was higher in our series compared to others. The cause for this high incidence was analyzed in our study. Based on our results we conclude that a conservative surgical method with an attempt to preserve vital bone and an appropriate antibiotic therapy with the correction of the underlying medical problems is adequate to treat Osteomyelitis of jaws.

Keywords: Diabetes mellitus; Mandible; Maxilla; Osteomyelitis.

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Figures

Fig. 1
Fig. 1
a Patient 1 Extra oral swelling in relation to osteomyelitic right mandible. b Patient 1 OPG showing Sequestrum in the right mandible. c Patient 1 Intra-operative view of the involved right mandible. d Patient 1 Sequestrum. e Patient 1 Fixation of the pathological fracture with stainless steel reconstruction plate: H & E ×100 showing dead bone and chronic inflammatory cells H & E ×100 showing dead bone & chronic inflammatory cells. f 8 years follow up showing good extra oral healing. g Patient 1 OPG 8 years post operative showing excellent bone healing at the pathological fracture site
Fig. 2
Fig. 2
a Patient 2 Intra Oral picture of a patient with Maxillary Osteomyelitis. b Coronal section of the CT scan showing Osteomyelitic Maxilla. c Intra operative view after extraction of teeth showing the necrosed bone. d Sequestrum with the extracted teeth. e Intra Oral view showing well healed Maxillary Osteomyelitis with Oro Antral Fistula 1.5 year post operative
See this image and copyright information in PMC

References

    1. Topazian RG, Goldberg MH, Hupp JR. Oral and maxillofacial infections. 4th edn
    1. Hudson JW. Osteomyelitis of Jaws: a 50-year perspective. J Oral MaxillofacSurg. 1993;51:1294–1301. doi: 10.1016/S0278-2391(10)80131-4. - DOI - PubMed
    1. Rangne A, Rudd A. Osteomyelitis of the jaws. Int J Oral Surg. 1978;7:523–527. doi: 10.1016/S0300-9785(78)80068-4. - DOI - PubMed
    1. Barry CP, David Ryan C. Osteomyelitis of the maxilla secondary to osteopetrosis: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95:12–15. doi: 10.1067/moe.2003.25. - DOI - PubMed
    1. Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis, etiology, demographics, risk factors and management in 35 cases. Oral Surg Oral Med Oral Pathol. 1992;74:149–154. doi: 10.1016/0030-4220(92)90373-X. - DOI - PubMed

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