Radiographic appearances of chronic osteomyelitis of the mandible involving the condylar process
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Although osteomyelitis involving mandibular condylar process is scarcely mentioned in the past literature, we have encountered 11 cases of such kind of disease during past three years. These were consisted of 7 males and 4 females between the ages of 21 years and 77 years. The average age of them at the time of the initial diagnosis was 46.1 years. The most frequent cause was the extention of infection from pericoronitis of following extraction of the wisdom tooth. Prognosis was less favorable and it tended to run a pronounced chronic course of longer duration strongly resistant to the treatment. In radiographic analysis of bone changes of condylar process, there was a tendency to show that the more the infection extended upward, the more bone destruction became severe. It is emphasized that the disease of ramus and condylar process has the risk of being easily missed because of atypical signs and symptoms by the use of antibiotics and difficult radiographic interpretation.
Key WordsChronic osteomyelitis Condylar process Diagnosis
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