Pulsatile pressure irrigation treatment of mandibular osteomyelitis

The usefulness of the pulsatile pressure saline irrigation system has been demonstrated in the orthopedic, surgical, and dental literature. Its use during the treatment of mandibular osteomyelitis has not been documented. The literature concerning pressure irrigation is reviewed, and the indications and technique of pulsatile pressure saline/antibiotic irrigation for the treatment of mandibular osteomyelitis are enumerated and demonstrated with two case reports. The pulsatile pressure saline/antibiotic irrigation system may be a useful adjunct to the standard therapeutic modalities of infection management and can be used during the management of mandibular osteomyelitis.