An update on osteomyelitis treatment in a pycnodysostosis patient
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Universidade Federal de Minas Gerais
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Purpose
The aims of the present study were to discuss the demographic distribution and clinical characteristics of patients with pycnodysostosis (PYCD) and the onset of osteomyelitis and its treatment using a literature review. The authors also report on an update of treatment of mandibular osteomyelitis in a patient with PYCD using a buccal fat pad (BFP) as a free graft.
Patients and Methods
The study was carried out in 2 steps. In the first step, an electronic search was undertaken in PubMed in March 2018, with 17 articles being included. In the second step, the authors present a case of mandibular osteomyelitis in a 30-year-old woman with PYCD treated by sequestrectomy and a BFP as a free graft (follow-up, 24 months).
Results
Twenty-one cases of osteomyelitis of the jaws in patients with PYCD were included. Dental extraction, mandibular fracture, and 1 case of facial trauma represented the causes of mandibular osteomyelitis. Treatments included resection associated with antibiotics and sequestrectomy alone or associated with antibiotics.
Conclusions
Despite the good results of the present case, further studies using the BFP as an adjuvant for jaw osteomyelitis are necessary to elucidate its clinical efficiency and safety.
Abstract
Assunto
Therapeutics, Osteomyelitis, Margins of excision, Anti-bacterial agents, Pycnodysostosis, Tooth extraction, Orthopedic procedures, Jaw fractures, Facial injuries
Palavras-chave
Pycnodysostosis, Osteomyelitis Journal of oral and maxillofacial surgery, buccal fat pad, treatment, Journal of Oral and Maxillofacial Surgery Volume 76, Issue 10 , October 2018, Pages 2136.e1-2136.e10, acesso restrito An update on osteomyelitis treatment in a pycnodysostosis patient fao clínica busca dia 15/07/2024d.c depois de Cristo hora 15 00
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https://www.sciencedirect.com/science/article/pii/S0278239118305962