慢性颌骨骨髓炎。骨髓炎。

Q2 Dentistry
Carmen López-Carriches, María Victoria Mateos-Moreno, Ricardo Taheri, Juan López-Quiles Martínez, Cristina Madrigal-Martínez-Pereda
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引用次数: 0

摘要

背景:慢性颌骨骨髓炎是一种感染源性骨组织的炎症反应,影响髓腔。骨髓炎的主要原因是牙源性或外伤性。材料和方法:书目研究,检索了以下电子数据库:Pubmed Medline和Chochrane Library Plus。结果:临床表现为疼痛、炎症、化脓、口内或口外引流瘘。骨和软组织对治疗反应不佳,可能导致骨隔离。诊断应包括组织病理学研究和适当的活检。确定致病微生物并不容易,因为样品可能被附近的地点污染。然而,可以通过临床和影像学评估作出推定诊断。骨髓炎的治疗包括消除感染源和坏死组织,建立引流,恢复血液供应,并通过适当的抗菌治疗控制感染。一开始通常开广谱抗生素,如青霉素或克林霉素,但治疗方案可能会根据微生物学结果进行调整。结论:根据感染的严重程度和慢性程度,通常需要长期抗生素治疗,时间为4至6周。关键词:慢性骨髓炎,抗生素,下颌骨,微生物,外科。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chronic Osteomyelitis of the Jaw. Osteomyelitis.

Background: Chronic osteomyelitis of the jaw is an inflammatory reaction of bone tissue of infectious origin that affects the medullary cavity. The main causes of osteomyelitis are odontogenic or traumatic.

Material and methods: Bibliographic research, the following electronic databases have been searched: Pubmed Medline and the Chochrane Library Plus.

Results: Clinical symptoms are pain, inflammation, suppuration, intraoral or extraoral drainage fistulas. Bone and soft tissues that do not respond favorably to treatment, potentially can lead to bone sequestra. Diagnosis should include a histopathological study throughout a proper biopsy. Identifying the responsible microorganisms is not easy, as the sample can be contaminated by nearby sites. However, a presumptive diagnosis can be made through clinical and radiographic evaluation. Treatment for osteomyelitis involves eliminating the source of infection and necrotic tissue, establishing drainage, restoring blood supply, and controlling the infection with appropriate antimicrobial therapy. Broad-spectrum antibiotics like penicillin or clindamycin are often prescribed initially, but the regimen may be adjusted based on the microbiological findings.

Conclusions: Long-term antibiotic therapy is generally required, ranging from 4 to 6 weeks, depending on the severity and chronicity of the infection. Key words:Chronic Osteomyelitis, antibiotic, mandible, microbiology, surgery.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
118
期刊介绍: Indexed in PUBMED, PubMed Central® (PMC) since 2012 and SCOPUSJournal of Clinical and Experimental Dentistry is an Open Access (free access on-line) - http://www.medicinaoral.com/odo/indice.htm. The aim of the Journal of Clinical and Experimental Dentistry is: - Periodontology - Community and Preventive Dentistry - Esthetic Dentistry - Biomaterials and Bioengineering in Dentistry - Operative Dentistry and Endodontics - Prosthetic Dentistry - Orthodontics - Oral Medicine and Pathology - Odontostomatology for the disabled or special patients - Oral Surgery
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