Actinomycotic osteomyelitis of the mandible: review of 15 cases

The authors have analysed 15 cases of actinomycotic osteomyelitis of the mandible. Primary actinomycotic inflammation of the mandible was diagnosed in nine patients, secondary in six patients (following fracture or resection of the mandible). The diagnosis was established on the basis of the clinica...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 1998-02, Vol.26 (1), p.63-67
Main Authors: Bartkowski, Stanislaw B., Zapala, Jan, Heczko, Piotr, Szuta, Mariusz
Format: Article
Language:English
Subjects:
Actinomycosis - diagnosis
Actinomycosis - drug therapy
Actinomycosis - surgery
Adolescent
Adult
Aged
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Cephalosporins - therapeutic use
Cephradine - therapeutic use
Child
Child, Preschool
Dentistry
Drug Therapy, Combination - therapeutic use
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Follow-Up Studies
Gentamicins - therapeutic use
Humans
Lincomycin - therapeutic use
Male
Mandibular Diseases - drug therapy
Mandibular Diseases - microbiology
Mandibular Diseases - surgery
Mandibular Fractures - drug therapy
Mandibular Fractures - microbiology
Mandibular Fractures - surgery
Medical sciences
Middle Aged
Non tumoral diseases
Osteomyelitis - drug therapy
Osteomyelitis - microbiology
Osteomyelitis - surgery
Otorhinolaryngology. Stomatology
Penicillins - administration & dosage
Penicillins - therapeutic use
Recurrence
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Description
Summary:The authors have analysed 15 cases of actinomycotic osteomyelitis of the mandible. Primary actinomycotic inflammation of the mandible was diagnosed in nine patients, secondary in six patients (following fracture or resection of the mandible). The diagnosis was established on the basis of the clinical examination confirmed by bacteriological and/or histopathological tests. The basic method of treatment was antibiotic therapy of long duration. Surgical treatment was performed in all patients. Twelve of fifteen patients who had received the therapy and proved asymptomatic for 1 year to 23 years were recognized to be cured of the disease. In three patients, a single recurrence of the disease was observed after 1.5–2 months.
ISSN:1010-5182
1878-4119
DOI:10.1016/S1010-5182(98)80037-1