만성경화성 하악골골수염의 임상적검토
CLINICAL OBSERVATIONS ON MANDIBULAR CHRONIC OSTEOMYELITIS - COMBINATION THERAPY OF DECORTICATION AND INTRA-ARTERIAL INFUSION CHEMOTHERAPY -
- 대한구강악안면외과학회
- 대한구강악안면외과학회지
- 대한구강악안면회과학회지 제34권 제3호
-
2008.06350 - 354 (5 pages)
- 8

Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.
(0)
(0)