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The rare condition of maxillary osteomyelitis

Elena Indrizzi1, Valentina Terenzi, Giancarlo Renzi

  • 1Department of Maxillo-facial Surgery, University of Rome La Sapienza, II Faculty of Medicine and Surgery, Sant'Andrea Hospital, Rome, Italy.

The Journal of Craniofacial Surgery
|September 30, 2005
PubMed

Insights

Osteomyelitis, an inflammation of bone, can affect the skull. This case highlights successful treatment of maxillary sinus osteomyelitis using surgery and antibiotics.

Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Osteomyelitis is a bone inflammation affecting cortical and trabecular bone or marrow.
  • Cranial bone osteomyelitis is rare but carries risks of severe intracranial complications.
  • Chronic intrasinusal polyps can lead to contiguous inflammation and spread.

Observation:

  • A case of osteomyelitis in the right maxillary sinus of an adult patient is presented.
  • The inflammation originated from a chronic intrasinusal polyp.
  • Involvement of surrounding structures posed significant risks.

Findings:

  • Complete resolution of infection was achieved through combined surgical intervention and antibiotic therapy.
  • Radiographic and histopathologic findings were analyzed.
  • Diagnostic patterns and surgical treatment strategies were illustrated.

Implications:

  • This case underscores the importance of recognizing and treating maxillary sinus osteomyelitis promptly.
  • Combined surgical and antibiotic approaches are effective for managing this condition.
  • Early diagnosis and intervention can prevent severe intracranial complications.

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