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Primary chronic osteomyelitis in the mandible: a conservative approach
Anuja Agarwal1, Nishant Kumar, Amit Tyagi
1ITS Dental College and Hospital, Greater Noida, India.
BMJ Case Reports
|April 5, 2014
Summary
Primary chronic osteomyelitis of the jaw is a rare inflammatory condition. Surgical decortication offers a less aggressive, more effective treatment compared to resection, with good long-term outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Pathology
- Inflammatory Diseases
Background:
- Primary chronic osteomyelitis of the jaw is an uncommon, non-suppurative inflammatory condition of unknown etiology.
- It presents without pus, fistula, or bony sequestra, affecting early or adult onset.
- Diagnosis relies on clinical, radiological, and histological evaluation.
Observation:
- A 28-year-old female patient presented with left-sided mandibular swelling.
- Clinical examination, imaging, and biopsy confirmed primary chronic osteomyelitis.
- The patient underwent surgical decortication and contouring of the affected mandible.
Findings:
- The surgical decortication and contouring procedure was successful in treating the condition.
- No recurrence of primary chronic osteomyelitis was observed during a 2-year follow-up period.
- This indicates the efficacy of the chosen surgical approach.
Implications:
- Surgical decortication is recommended as a preferred treatment for primary chronic osteomyelitis of the jaw.
- This approach is less invasive than peripheral or segmental resection.
- Decortication offers superior functional and aesthetic results for patients compared to more aggressive resections.
