Osteomyelitis after bilateral sagittal split osteotomy: case report and a review of the management

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• 作者：Salam Salman DDS^a ; Michael Young MD^b ; Joseph E. Van Sickels DDS^c ; ^{vansick@email.uky.edu}
• 刊名：Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
• 出版年：2011
• 出版时间：April 2011
• 年：2011
• 卷：111
• 期：4
• 页码：442-448
• 全文大小：1157 K

文摘

Objectives

The purpose of this paper is to report a case of osteomyelitis following a bilateral sagittal split osteotomy in a patient who underwent 2-jaw surgery. A review of the management of osteomyelitis is included, with a discussion of implications for the reconstruction of the mandible after treatment for osteomyelitis.

Study design

A case of a rapidly progressing osteomyelitis is presented with a detailed review of the management of osteomyelitis, using this case to illustrate key points of management.

Results

In a very short period of time the patient lost a significant portion of the left side of her mandible. The actual management that she underwent, as well as some of the controversies that are present with the treatment of osteomyelitis, is discussed.

Conclusion

Although osteomyelitis of the mandible usually is seen after odontogenic infections and trauma, it can occur in patients undergoing elective osteotomies. When recognized, it should be aggressively treated.