TREATMENT OF THE OSTEOMYELITIS OCCURRED BY THE FRACTURE OF THE MANDIBLE

악골 골절후 발생된 골수염의 처치의 치험례

  • Kim, Sung-Kug (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Daegu Hyosung Catholic University) ;
  • Sohn, Dong-Seok (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Daegu Hyosung Catholic University) ;
  • Go, Mal-Sik (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Daegu Hyosung Catholic University) ;
  • Seo, Jung-Sik (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Daegu Hyosung Catholic University) ;
  • Lee, Chul-Hee (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Daegu Hyosung Catholic University)
  • 김성국 (대구 효성가톨릭대학교 의과대학 부속병원 치과학교실) ;
  • 손동석 (대구 효성가톨릭대학교 의과대학 부속병원 치과학교실) ;
  • 고말식 (대구 효성가톨릭대학교 의과대학 부속병원 치과학교실) ;
  • 서정식 (대구 효성가톨릭대학교 의과대학 부속병원 치과학교실) ;
  • 이철희 (대구 효성가톨릭대학교 의과대학 부속병원 치과학교실)
  • Published : 1995.09.30

Abstract

With the use of antibiotics and improved dental care, osteomyelitis of the jaw is less common these days, But sometimes the management of osteomyelitis is more difficult because of appearance of resistant organisms to antibiotics. Treatment of the steomyelitis are incision and drainage, closed catheter irrigations, sequestrectomy, saucerization, hyperbaric ocygen therapy, and resection with or without bone graft. We experienced advanced osteomyelitis due to delayed treatment of left mandibular angle fracture. He have medical history of pschysoprenia. We decided to treat the patient with open reduction and closed cather irrigation. We achived reconsolidation of mandibular fracture accompanied by osteomyelitis by complete removal of inflammatory tissues, rigid fixation with miniplate and closed catheter irrigation.

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