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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...

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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Skull base osteomyelitis after maxillectomy: a rare complication.

A J Barber1, R Hanlon, S N Rogers

  • 1Regional Maxillofacial Unit, Aintree University Hospitals NHS Foundation Trust, Aintree, Liverpool, UK. andrewbarber2@nhs.net

The British Journal of Oral & Maxillofacial Surgery
|February 27, 2009
PubMed
Summary

Skull base osteomyelitis is a rare complication following maxillectomy surgery. This case highlights the importance of considering this infection in patients presenting with symptoms weeks after the procedure.

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Area of Science:

  • Medical Case Report
  • Surgical Complications
  • Infectious Diseases

Background:

  • Plexiform ameloblastoma is a benign odontogenic tumor requiring surgical resection.
  • Maxillectomy, particularly level 2, involves significant tissue removal and potential surgical site complications.
  • Osteomyelitis of the skull base is a serious infection with potentially devastating outcomes.

Observation:

  • A patient developed skull base osteomyelitis 4-8 weeks post-maxillectomy for a right posterior maxilla ameloblastoma.
  • The presentation mimicked other post-surgical complications, necessitating a thorough differential diagnosis.
  • This represents an extremely rare instance of osteomyelitis following maxillectomy.

Findings:

  • Early recognition and diagnosis of skull base osteomyelitis are crucial for effective management.
  • A multidisciplinary approach involving infectious disease specialists and surgeons is often required.
  • Prompt antibiotic therapy and surgical debridement, if necessary, are key treatment modalities.

Implications:

  • This case underscores the need for heightened vigilance for osteomyelitis in patients undergoing maxillectomy.
  • Further research into preventative strategies and optimal management protocols for this rare complication is warranted.
  • Understanding the presentation and management can improve patient outcomes after complex head and neck surgeries.