Actinomycotic osteomyelitis in the maxilla and the zygomatic bone: a case report and literature review

Objective To investigate the clinical features, diagnosis and treatment of osteomyelitis of the jaw caused by an actinomycotic infection and to provide a reference for clinical diagnosis and treatment. Methods A case of osteomyelitis in the bilateral maxilla and the left zygomatic bone and arch caus...

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Published inKou qiang ji bing fang zhi = Journal of prevention and treatment for stomatological diseases Vol. 31; no. 9; pp. 653 - 659
Main Authors ZHENG Xiaofei, CHENG Jiao, LUO Xiangyou, XIANG Xiaobo, MAN Cheng, JIANG Lian
Format Journal Article
LanguageChinese
Published Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 01.09.2023
Subjects
actinomycetes
antibiotics
cone beam ct
imaging examination
maxilla
osteomyelitis
three-dimensional imaging
zygomatic bone
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Summary:Objective To investigate the clinical features, diagnosis and treatment of osteomyelitis of the jaw caused by an actinomycotic infection and to provide a reference for clinical diagnosis and treatment. Methods A case of osteomyelitis in the bilateral maxilla and the left zygomatic bone and arch caused by a mixed bacterial infection dominated by Actinomycetes was reviewed and analyzed in combination with the literature. Results The patient had left upper posterior tooth pain with repeated left facial swelling for 7 months. The patient's left face was swollen before surgery, the left maxillary alveolar bone was necrotic, and the upper palate showed fistula discharge. A maxillofacial magnetic resonance imaging scan excluded tumors and other space-occupying lesions. According to CBCT images, the initial diagnoses were left infraorbital space infection and osteomyelitis of the bilateral maxillary, the left zygomatic bone, the left zygomatic arch and the lateral orbital wall. Necrosis of the left maxilla and the zy
ISSN:2096-1456
DOI:10.12016/j.issn.2096⁃1456.2023.09.007