만성경화성 하악골골수염의 임상적검토 - 외측피질골제거술 및 동주요법(국소화학요법) 병용의 증례에 관하여

Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal art...

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Published inTaehan Kugang Akanmyŏn Oekwa Hakoe chi Vol. 34; no. 3; pp. 350 - 354
Main Authors Yuichiro, Kuroiwa, Hiroaki, Matsuura, Atsushi, Abe, Mugio, Kato, Yoshiko, Ariji, Kenichi, Kurita
Format Journal Article
LanguageKorean
Published 2008
Subjects
Antibiotic
Intra-arterial infusion
Decortication
Chronic osteomyelitis
Diffuse osteosclerosis
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Summary:Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.
Bibliography:KISTI1.1003/JNL.JAKO200833338362387
ISSN:1225-1585