文章简介

出版社:Plast Reconstr Surg Glob Open

作   者:Shubhi Singh, M. Elise Graham, Martin Bullock, M.H. Rigby, S. Mark Taylor, Jonathan R.B. Trites, Robert D. Hart

编   号:10.1097/GOX.0000000000000557

年   份:2015    点击量:735

文章摘要

Primary chronic osteomyelitis of the mandible is a rare condition that presents with a long-standing chronic facial swelling over the mandible, pain with mastication, and trismus. With no clinically appreciated acute phase, the aetiology often remains unknown. Many patients achieve adequate symptom control with broad-spectrum antibiotics, hyperbaric oxygen therapy and surgical debridement, or decortication of bone sequestration. However, because of the rarity of primary chronic osteomyelitis and the extensive involvement of the mandible that can result, we present a case of a 32-year-old woman with chronic disease of the left mandible requiring a left hemimandibulectomy and fibular free flap reconstruction. Few such cases have been reported in the literature, which require such extensive resection and reconstruction to control long-standing symptoms.

下颌骨原发性慢性骨髓炎是一种罕见的疾病,表现为下颌骨处面部长期慢性肿胀,伴随咀嚼疼痛以及张口困难。无急性期临床表现,其病因往往不明。通过广谱抗生素,高压氧治疗结合外科清创术,或者死骨剥脱术治疗,多数患者的症状得到了良好控制。然而,考虑到原发性慢性骨髓炎的罕见性和下颌骨的广泛累及,本文报道了一例累及左下颌骨慢性疾病的32岁女性患者,其需行一侧下颌骨切除术和腓骨游离皮瓣重建术。很少有这种需行此类广泛切除术和重建术来控制长期症状的文献病例报道。

 

 

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原文来自:Plast Reconstr Surg Glob Open