Abstract
Osteomyelitis is an inflammatory process involving cortical and cancellous bone. In the maxillofacial region, the mandible is the most frequently affected bone. In the vast majority, a bacterial focus can be identified as the origin of the disease. Chronic progress of the disease may lead to destruction of mandibular bony structures, resulting in mild or severe loss of function if no adequate treatment is applied. In some cases, the etiology of osteomyelitis remains unclear. Review of literature revealed two cases of necrosis of the mandibular condyle caused by primary osteomyelitis. We report a case of primary osteomyelitis of the mandibular condyle in a 51-year-old woman. Radiography revealed an almost complete destruction of the right mandibular condyle, resulting in malocclusion. The patient was treated with long-term antibiotics. No surgical intervention had been performed. After remission of the symptoms, the malocclusion had been corrected prosthetically. After a 4-year follow up period, the occlusion is stabile and there are no signs of progression of the disease.
References
Baltensperger M, Gratz K, Bruder E, Lebeda R, Makek M, Eyrich G (2004) 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 32:43–50
Heggie AA (2000) Unusual jaw lesions in the pediatric and adolescent patient: a management challenge. Ann R Australas Coll Dent Surg 15:185–192
Jamil MU, Eckardt A, Franko W (2000) Hyperbaric oxygen therapy. Clinical use in treatment of osteomyelitis, osteoradionecrosis and reconstructive surgery of the irradiated mandible. Mund Kiefer Gesichtschir 4:320–323
Kanemoto K, Suzuki R, Okano T, Nagumo M (1992) Osteomyelitis of the mandibular condyle. Report of a case. J Oral Maxillofac Surg 50:1337–1339
Kaufmann MG, Obwegeser JA, Eyrich GKH, Grätz KW (2005) Solitary abscessing osteomyelitis of the mandibular condyle. A rarity. Mund Kiefer GesichtsChir 9:251–256
Kim SG, Jang HS (2001) Treatment of chronic osteomyelitis in Korea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92:394–398
Suei Y, Taguchi A, Tanimoto K (2003) Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases. Rheumatology 42:1398–1403
Winiker-Blanck E, Wittstock C, Braun L, Biedermann F (1978) Die Osteomyelitis des Kiefergelenkes. Zahn Mund Kieferheilkd Zentralbl 66:705–710
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Zemann, W., Feichtinger, M., Pau, M. et al. Primary osteomyelitis of the mandibular condyle—a rare case. Oral Maxillofac Surg 15, 109–111 (2011). https://doi.org/10.1007/s10006-010-0216-y
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DOI: https://doi.org/10.1007/s10006-010-0216-y