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Diagnostic Imaging – Scintigraphy

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Osteomyelitis of the Jaws

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Abstract

Scintigraphy is a well-recognized tool in the early diagnosis osteomyelitis of the jaws. Due to the sensitivity of this investigation, the extent of the infectious lesion can be determined accurately and hence give important information prior to surgical therapy. An additional useful feature of bone scans is their ability to monitor activity during the course of the disease and hence determine the effectiveness of therapy as well as detecting relapse. Although high-resolution CT and especially MRI scans have reached a level of sensitivity which allow them well to compete with scintigraphic investigations, in certain instances they cannot fully replace this technology. In cases of syndrome-associated primary chronic osteomyelitis scintigraphy is recommended to detect possible multifocal skeletal lesions such as in chronic recurrent multifocal osteomyelitis and SAPHO syndrome.

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References

  • Adler C-P. Knochenkrankenheiten. Springer, Berlin Heidelberg New York, 1997

    Google Scholar 

  • Baltensperger M, Gratz K, Bruder E, Lebeda R, Makek M, Eyrich G. Is primary chronic osteomyelitis a uniform disease? Proposal of a classification based on a retrospective analysis of patients treated in the past 30 years. J Craniomaxillofac Surg 2004; 32(1):43−50

    PubMed  Google Scholar 

  • Bergstedt HF, Lind MG. Facial bone scintigraphy. Acta radiol Diagn 1978; 19:993

    CAS  Google Scholar 

  • Bessler W. Indikationen zur Skelettszintigraphie. In: Feine U, Müller-Schauenburg W (eds) Nuklearmedizinische Knochendiagnostik. Wachholz, Nürnberg, 1985

    Google Scholar 

  • Brosch F. Die Entstehung des Bildes des osteomyelitischen Kiefers. In: Schuchardt K (ed) Fortschritte der Kiefer- und Gesichts-Chirurgie, Bd. IX. Thieme, Stuttgart, 1964, p 153

    Google Scholar 

  • Burkhart FC. Die Knochenszintigraphie zur Verlaufsbeurteilung der chronischen Ostitis. Med Thesis, Zurich, 1995

    Google Scholar 

  • Doerr W, Uehlinger E. Spezielle pathologische Anatomie, Bd. I. Springer, Berlin Heidelberg New York, 1966

    Google Scholar 

  • Ewers R, Scharf F, Düker J, Pohle W. Diagnose, Verlaufskontrolle und Transplantat-Terminierung mit Hilfe des 99m TC-Phosphat-Knochenscans. Zahnärztl Welt 1978; 87:914−918

    CAS  Google Scholar 

  • Eyrich GK, Baltensperger M, Bruder E, Grätz KW. Primary chronic osteomyelitis (PCO) in childhood and adolescence. A retrospective analysis of 11 cases and review of the literature. J Oral Maxillofac Surg 2003; 61:561−573

    Article  PubMed  CAS  Google Scholar 

  • Gates GF. Radionuclide diagnosis. In: Laskin DM (ed) Oral and maxillo-facial surgery, Mosby, London, 1980

    Google Scholar 

  • Gold R. Diagnosis of osteomyelitis. Pediatr Rev 1991; 12:292

    Article  PubMed  CAS  Google Scholar 

  • Hakim SG, Bruecker CW, Jacobsen HC, Hermes D, Lauer I, Eckerele S, Froehlich A, Sieg P. The value of FDG−PET and bone scintigraphy with SPECT in the primary diagnosis and follow-up of patients with chronic osteomyelitis of the mandible [In Process Citation]. Int J Oral Maxillofac Surg 2006; 35(9):809−816

    Article  PubMed  CAS  Google Scholar 

  • Handmaker H, Leonards R. The bone scan in inflammatory osseus disease. Semin Nucl Med 1976; 6:95

    Article  PubMed  CAS  Google Scholar 

  • Hardt N. Osteomyelitis: scintigraphy. Bone scintigraphic studies in osteomyelitis of the jaws. Schweiz Monatsschr Zahnmed 1991; 101 (3):318−327

    PubMed  CAS  Google Scholar 

  • Hardt N. Infektionen des Kieferknochens (Osteomyelitis). In: Sitzmann F (ed) Radiologieatlas der Zahn-, Mund- und Kiefererkrankungen. Urban und Fischer, München, Jena, 2000/2003

    Google Scholar 

  • Hardt N, Hofer B. Szintigraphie der Kiefer- und Gesichtsschädel-Erkrankungen. Quintessenz, Berlin, Chicago, London, Sao Paulo, Tokyo, 1988

    Google Scholar 

  • Hardt N, Hofer B, Vögeli E. Stellenwert und Aussagekraft der Knochenszintigraphie bei osteomyelitischen Prozessen im Kieferbereich. In: Pfeifer G, Schwenzer N (eds) Fortschritte der Kiefer- und Gesichts-Chirurgie, Bd. XXIX. Thieme, Stuttgart, New York, 1984

    Google Scholar 

  • Hardt N, Hofer B, Vögeli E. Szintigraphische Beurteilung von Knochentumoren und tumorähnlichen Erkrankungen des Gesichts-Schädels. In: Pfeifer G, Schwenzer N (eds) Fortschritte der Kiefer- und Gesichts-Chirurgie, Bd. XXX. Thieme, Stuttgart, New York, 1986

    Google Scholar 

  • Härle F. Die Spongiosatransplantation an dem infizierten Unterkiefer. In Probst J (ed) Plastische und Wiederherstellungschirurgie bei und nach Infektionen. Springer, Berlin Heidelberg New York, 1980

    Google Scholar 

  • Heggie AAC. Unusual jaw lesions in the pediatric and adolescent patient: a management challenge. Ann Roy Australas Coll Dent Surg 2000; 15:185−192

    CAS  Google Scholar 

  • Heuck F, Zum Winkel K. Skelttszinthigraphie. In: Kuhlencordt F, Bartelheimer H (eds) Klinische Osteologie. Springer, Berlin Heidelberg New York, 1980

    Google Scholar 

  • Hofer B, Hardt N. Skelettszintigramm bei zystoiden Prozessen im Unterkiefer (Diagnose, Ausdehnung, Verlauf). In: Bessler W, Fuchs WA, Locher J, Paumier J (eds) Neue Aspekte radiologischer Diagnostik und Therapie. Huber, Bern, 1983

    Google Scholar 

  • Hofer B, Hardt N, Vögeli E, Kinser J. A diagnostic approach to lytic lesions of the mandible. Skeletal Radiol 1985; 14:164

    Article  PubMed  CAS  Google Scholar 

  • Jones DC, Cady RB. “Cold” bone scans in acute osteomyelitis. J Bone Joint Surg 1981; 63(B):376

    Google Scholar 

  • Köhnlein S, Brinkmann G, Körner T et al. Magnetresonanztomographie zur Diagnostik von Unterkieferosteomyelitiden. Fortsch Röntgenstr 1997; 167:52−57

    Google Scholar 

  • Körner T, Kreusch T, Bohuslavizki KH, Brinkmann G, Köhnlein S. Magnetic resonance imaging vs three-dimensional scintigraphy in the diagnosis and monitoring of mandibular osteomyelitis. Mund Kiefer Gesichtschir 1997; 1(6):324−327

    Article  PubMed  Google Scholar 

  • Mercuri LG. Acute osteomyelitis of the jaws. Oral Maxillofac Surg Clin North Am 1991; 3(2):355−365

    Google Scholar 

  • Obwegeser HL. Aktives chirurgisches Vorgehen bei der Osteomyelitis mandibulae. Z Stomotol 1960; 57:216−225

    Google Scholar 

  • Obwegeser HL, Sailer HF. Experiences with intraoral partial resection and simultaneous reconstruction in cases of mandibular osteomyelitis. J Maxillofac Surg 1978; 6:34

    Article  PubMed  CAS  Google Scholar 

  • Reinert S, Fürst G, Lenrodt J et al. Die Wertigkeit der Kernspintomographie in der Diagnostik der Unterkiefer-Osteomyelitis. Dtsch Z Mund Kiefer Gesichtschir 1995; 19:15−18

    Google Scholar 

  • Rohlin M. Diagnostic value of bone scintigraphy in osteomyelitis of the mandible. Oral Surg Oral Med Oral Pathol 1993; 75:650−657

    Article  PubMed  CAS  Google Scholar 

  • Sailer HF. Ergebnisse nach der Resektion und Sofortrekonstruktion des osteomyelitischen Unterkiefers Fortschritte der Kiefer- und Gesichtschirurgie (Herausgeb. Pfeifer G, Schwenzer N) Band XXIX Septische Mund-Kiefer-Gesichtschirurgie, pp 51−52, 1984

    Google Scholar 

  • Scharf F, Ewers R, Pohle W. Die Aussagekraft bei Knochenszintigraphie mit 99m TC-Diphosphonat bei der Osteomyelitis-Behandlung. Dtsch Z Mund Kiefer Gesichtschir 1978; 2:76

    Google Scholar 

  • Schuknecht BF, Carls FR, Valavanis A, Sailer HF. Mandibular osteomyelitis: evaluation and staging in 18 patients, using magnetic resonance imaging, computed tomography and conventional radiographs. J Craniomaxillofac Surg 1997; 25(1):24−33

    PubMed  CAS  Google Scholar 

  • Topazian RG. Osteomyelitis of the jaws. In: Topizan RG, Goldberg MH, Hupp (eds) Oral and maxillofacial infections. Saunders, Philadelphia, 2002, pp 214−242

    Google Scholar 

  • Tsuchimochi M, Higashino N, Okano A, Kato J. Study of combined technetium 99m methylene diphosphonate and gallium 67 citrate scintigraphy in diffuse sclerozing osteomyelitis of the mandible: case reports. J Oral Maxillofac Surg 1991; 49:887−897

    Article  PubMed  CAS  Google Scholar 

  • Weber PC, Seabold JE, Graham SM et al. Evaluation of temporal and facial osteomyelitis by simultaneous In-WBC/Tc-99m-MDP bone SPECT scintigraphy and computed tomography scan. Otolaryngol Head Neck Surg 1995; 113:36−41

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Lucerne General Hospital, Spitalstrasse, 6000, Lucerne 16, Switzerland

    Nicolas Hardt

  2. Institute of Radiology, Lucerne General Hospital, Spitalstrasse, 6000, Lucerne 16, Switzerland

    Bernhard Hofer

  3. Center for Jaw Surgery and Facial Plastic Surgery, Pionierpark, Zürcherstrasse 7, 8400, Winterthur, Switzerland

    Marc Baltensperger

Authors
  1. Nicolas Hardt
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  2. Bernhard Hofer
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  3. Marc Baltensperger
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Editor information

Editors and Affiliations

  1. Center for Jaw Surgery and Facial Plastic Surgery, Zürcherstrasse 7, 8400, Winterthur, Switzerland

    Marc M. Baltensperger

  2. Maxillofacial, Facial Plastic, Head and Neck Surgery, Oberdorfstrasse 41, 8853, Lachen, Switzerland

    Gerold K. H. Eyrich

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© 2009 Springer-Verlag Berlin Heidelberg

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Hardt, N., Hofer, B., Baltensperger, M. (2009). Diagnostic Imaging – Scintigraphy. In: Baltensperger, M., Eyrich, G. (eds) Osteomyelitis of the Jaws. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-28766-7_4

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  • DOI: https://doi.org/10.1007/978-3-540-28766-7_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-28764-3

  • Online ISBN: 978-3-540-28766-7

  • eBook Packages: MedicineMedicine (R0)

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