RESUMEN
Results are presented on treatment of 68 patients with acute suppurative periostitis of maxillofacial region. After surgical interventions in patients of the study group (48 patients) the wounds were cleansed by 1% chitosan on 0.2% HC1 in combination with methylene blue and irradiated by IR laser beam. The wounds healed in 2-3 days. In the control group (20 patients) for wound dressing chlorhexidine as a standard procedure was used, length of the healing process was 5-6 days. After combined treatment the number of microflora in the wound was reduced and microflora did not show the signs of pathogenicity.
Asunto(s)
Quitosano/uso terapéutico , Terapia por Luz de Baja Intensidad , Enfermedades Maxilares/microbiología , Enfermedades Maxilares/terapia , Periostitis/microbiología , Periostitis/terapia , Fármacos Fotosensibilizantes/uso terapéutico , Adolescente , Adulto , Anciano , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Supuración/microbiología , Supuración/terapia , Resultado del TratamientoRESUMEN
Sclerosing osteomyelitis of Garré is a rare syndrome; the mandible is the most commonly affected bone segment in the cervicofacial region. This chronic disease is characterized by a nonsuppurative ossifying periostitis with subperiosteal bone formation, commonly reactive to a mild infection or irritation. The differential diagnosis must be made with similar clinical conditions with hard mandibular swelling associated with bony sclerosis. Presumptive diagnosis can be achieved by radiology, but such diagnosis must be confirmed by histology. The aim of therapy is to remove the cause when recognized, aided by an adequate antibiotic therapy. Clinical, radiographic, and histologic features are presented in this case report.
Asunto(s)
Enfermedades Mandibulares/patología , Osteomielitis/patología , Osteosclerosis/patología , Periostitis/patología , Adolescente , Femenino , Humanos , Oxigenoterapia Hiperbárica , Enfermedades Mandibulares/terapia , Osteomielitis/complicaciones , Osteomielitis/terapia , Osteosclerosis/complicaciones , Osteosclerosis/terapia , Periostitis/complicaciones , Periostitis/terapia , SíndromeRESUMEN
Diffuse sclerosing osteomyelitis of the mandible is a disease that is characterized by a protracted course of recurrent pain, swelling of the cheek, and trismus. The cause of the lesion has been obscure for a long period of time. Recent research, however, pointed out that this disease is likely to be caused by overuse of the jaw musculature (chronic tendoperiostitis) and can be treated accordingly. The protracted course of the disease and the difficulty of treatment with an eventual positive outcome are illustrated by a case report of a 65-year-old man with an 11-year history of diffuse sclerosing osteomyelitis (chronic tendoperiostitis) of the mandible.