The value of magnetic resonance imaging in the diagnosis of mandibular osteomyelitis

Reinert, Siegmar; Widlitzek, H.; Venderink, Dick

doi:10.1054/bjom.1999.0200

Cited by 33 publications

(15 citation statements)

References 7 publications

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“…Both MRI and dynamic scintigraphy are equally sensitive to osteomyelitic changes in bone, MRI being superior to scintigraphy in demonstrating surrounding inflammatory soft tissue changes [15]. Bony structures can, to some extent, also be evaluated by MRI.…”

Section: Discussionmentioning

confidence: 99%

Mandibular osteomyelitis in children mimicking juvenile recurrent parotitis

Saarinen

Kolho

Kontio

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Mandibular osteomyelitis in children mimicking juvenile recurrent parotitis

Saarinen

Kolho

Kontio

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…Dois tipos básicos de processo infeccioso podem acometer a região maxilofacial: o processo agudo e o crônico. Na osteomielite aguda, ocorre um processo inflamatório não circunscrito de rápido curso evolutivo, sendo o paciente portador de febre, leucocitose, linfoadenopatia, dor e tumefação 12 e sem qualquer significância radiográfica 15,16 . Já a osteomielite crônica pode ser primária, surgindo como infecção de menores proporções clínicas além de atenuação dos sinais flogísticos principais como dor branda, presença de seqüestro ósseo 17 .…”

Section: Introductionunclassified

Osteomielite crônica mandibular: relato de caso

Masocatto¹,

Oliveira²,

Mendonça³

2017

Arch Health Invest

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ResumoAs osteomielites dos maxilares são bastante comuns nos países em desenvolvimento, sendo que em alguns casos o diagnóstico, assim como a terapêutica, são por vezes comprometidos em virtude da variedade microbiana associada a essas condições clínicas além de terapêuticas incorretas. Assim, foi objetivo dos autores discutir os principais aspectos de diagnóstico sejam eles clínicos e imaginológicos assim como as terapêuticas associadas por meio de um caso clínico de paciente de 42 anos de idade do gênero masculino queixando-se de dor em região mandibular esquerda e presença de secreção purulenta que persistia há mais de um mês. Ao exame clínico extrabucal pôde-se constatar a presença de três fístulas em região de ângulo mandibular esquerdo. A ortopantomografia evidenciou lesões líticas e espessamento cortical com aspecto de "roído por traça" associada a áreas compatíveis com seqüestros ósseos. Baseado nas características anteriores, o diagnóstico foi de osteomielite crônica mandibular. A terapia incluiu combinação de antibioticoterapia e procedimentos cirúrgicos como a sequestrectomia, debridamento, decorticação com resultados satisfatórios. Assim, o tratamento cirúrgico local adquire uma grande importância no resultado da terapia, associado com o uso de antimicrobianos como coadjuvantes, fundamental importância no êxito da terapêutica, sem deixar de notar a importância de um tratamento precoce para o sucesso da mesma. Descritores: Osteomielite; Bactérias; Diagnóstico; Maxila; Mandíbula. AbstractOsteomyelitis of the jaws are quite common in developing countries, and in some cases the diagnosis and therapy are sometimes compromised because of the variety microbial associated with these clinical conditions associated with therapeutic incorrect. Thus, it was the objective of the authors discuss the main aspects of diagnosis whether clinical and imaging as well as therapeutic linked through a clinical case of a 42 year-old male complaining of pain in left mandibular region and the presence of secretion pus that has persisted for over 1 month. On examination Clinical headgear could be verified the presence of 3 fistulas in left mandibular angle region. The panoramic radiography showed osteolytic lesions and cortical thickening with the appearance of "motheaten" associated with areas compatible with bone sequestration. Based on previous features, the diagnosis was chronic osteomyelitis of the mandible. Therapy included combination of antibiotics and procedures of sequestrectomy surgical, debridement, decortication with satisfactory results. Thus, treatment surgical site becomes more important in result of therapy, associated with the use of antimicrobials as adjuncts, fundamental importance to the success of therapy without noticing the importance of early treatment for successful therapy. Descriptors: Osteomyelitis; Bacteria; Diagnosis; Maxilla; Mandible. ResumenLa osteomielitis de los maxilares son muy comunes en países en desarrollo, y en algunos casos, el diagnóstico y la terapia a veces se ve comprometida debid...

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“…During and after treatment, monitoring consists of a combination of clinical examination, roentgenography and scintigraphy (technetium 99m methylene diphosphonate single photon emission computed tomography = SPECT) 10,15,22 . Scintigraphy reveals areas of increased bone turnover due to increased osteoblastic activity and exposes the patient to a dose of radiation equivalent to 3.5 mSv 5,6,10,12,15,17,18,22,26 . Magnetic resonance imaging has been suggested as an alternative in the monitoring of mandibular osteomyelitis 5,10,15,22,26 , but experience is limited.…”

mentioning

confidence: 99%

“…Scintigraphy reveals areas of increased bone turnover due to increased osteoblastic activity and exposes the patient to a dose of radiation equivalent to 3.5 mSv 5,6,10,12,15,17,18,22,26 . Magnetic resonance imaging has been suggested as an alternative in the monitoring of mandibular osteomyelitis 5,10,15,22,26 , but experience is limited. Leukocyte counts and c-reactive protein levels have been described as not of value in the monitoring of mandibular osteomyelitis 32 .…”

mentioning

confidence: 99%

“…The cost of detection of urinary HP and LP is low when performed in a clinical laboratory on a routine basis (US$5 per analysis). Efforts are continually being made to improve the ability to detect persistence or recurrence of osteomyelitis 22,26 . A plain roentgenography and analysis of a urine sample may provide sufficient information for the monitoring of mandibular osteomyelitis, reducing the exposure of the patient to radiation.…”

mentioning

confidence: 99%

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