Pathologic fracture of the mandible resulting from osteomyelitis: report of cases.
Pathologic fracture of the mandible resulting from osteomyelitis: report of cases.
复制标题
骨髓炎引起的下颌骨病理性骨折：病例报告。
DOI：
--
复制
发表时间：
1980
期刊：
影响因子：
--
通讯作者：
T. Nakajima
中科院分区：
文献类型：
--
作者：
T. Azumi;Y. Yoshikawa;M. Nagase;T. Nakajima
本文报告两例慢性骨髓炎引起的下颌骨病理性骨折。经过6个月的随访，1例患者经抗生素治疗成功，随后行患骨切除和髂骨植骨。第二例为有糖尿病病史的患者，拔除第三磨牙后，由于放线菌感染范围扩大，导致髁突骨折。由于抗生素未能阻止疾病的恶化，患者被注射了人丙种球蛋白。然后，所有的炎症迹象逐渐消失，一年多来没有复发的迹象。骨折处无自发性骨性愈合。
Two cases of pathologic fracture of the mandible resulting from chronic osteomyelitis are described. The first case was treated successfully by antibiotic therapy followed by resection of the affected bone and iliac bone grafting after six months of follow-up care. In the second case, a patient with a history of diabetes mellitus, a fracture of the condyloid process occurred because of extension of the Actinomyces infection after extraction of the third molar. Because antibiotics failed to prevent exacerbation of the disease, the patient was given human gamma globulin. Then, all the signs of inflammation disappeared gradually with no evidence of recurrence for more than a year. There was no spontaneous bony healing of the fractured site.