Abstract
Osteomyelitis is a bone inflammation caused by an infectious microorganism, which may lead to complete structure decay. Over time, along with the discovery and usage of powerful antibiotics, it became a rare occurrence in modern practice. In this paper, we will present a case of a patient with craniofacial osteomyelitis, which occurred as a complication of previous trauma and incomplete surgical treatment, due to lack of compliance. Chronic diseases in the non-cooperative patient led to the development of a severe clinical state. We believe that the existence of communication between defects on the anterior wall of the frontal sinus and corresponding subcutaneous and cutaneous tissue may have prevented further complications, in particular endocranial. Despite of a severe local finding, there was no dramatic increase in inflammatory parameters in laboratory analysis, as expected in such cases. A careful diagnostic procedure, identification of causative agent, adequately applied antibiotic therapy followed by surgical treatment debridement, improved the general condition of the patient as well as local finding. A severe form of osteomyelitis of the facial bones can be a complication after facial bone osteosynthesis. The absence of endocranial complications can be explained by drainage of purulent content through defects in the skin of the face. Quick and precise diagnostics, followed by treatment that includes a combination of surgery and conservative treatment, give the best results in such complex conditions.
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AJ and MJ attended, diagnosed, and involved in the treatment. SV and AJ collected medical history and drafted the paper. AJ, SZV and SV performed study design and article redaction. SZV and MJ reported the radiological images and provided legends of each image. All authors have read and approved the final manuscript.
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This study is registered and approved under Clinical Hospital Center Zemun, Ethics Committee, Decision No. 9/1, 21.3.2023, Zemun, Vukova 9, Republic of Serbia.
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Jovanović, A., Valjarević, S.Z., Vučić, S. et al. Case Report: Extensive Osteomyelitis of the Craniofacial Skeleton Following Operative Fracture Treatment. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04707-7
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DOI: https://doi.org/10.1007/s12070-024-04707-7