Treatment of Osteomyelitis: A Case for Disruption of the Affected Adjacent Periosteum

Hudson, John W.; Daly, Austin P.; Foster, Michael D.

doi:10.1016/j.joms.2017.03.008

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…12 Advanced age exacerbates this condition due to the age related changes in blood supply where the blood supply becomes centripetal (periosteal) rather than centrifugal (endosteal). 13 Diabetes mellitus and anemia was identified in our patient, the former affecting the terminal vasculature and decreasing host resistance and latter causing reduced end oxygen delivery to tissues. This systemic condition along with the anatomical predisposition of mandible with the advanced age predisposed and propagated the condition in our patient.…”

Section: Discussionmentioning

confidence: 71%

“…Mandible is naturally predisposed due to its centrifugal terminal vasculature, corticospongy structure and low mucosal coverage 12 . Advanced age exacerbates this condition due to the age related changes in blood supply where the blood supply becomes centripetal (periosteal) rather than centrifugal (endosteal) 13 . Diabetes mellitus and anemia was identified in our patient, the former affecting the terminal vasculature and decreasing host resistance and latter causing reduced end oxygen delivery to tissues.…”

Section: Discussionmentioning

confidence: 73%

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Degloving Approach for the Management of Extensive Mandibular Osteomyelitis

Sharma

Grewal³

2020

Journal of Craniofacial Surgery

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Extensive osteomyelitis of the mandible is usually managed using elaborate procedures including resection and reconstruction of the affected part of the mandible. This brief clinical report, the authors present a case of 75-year old male with extensive osteomyelitis of the mandible, incidentally diagnosed with anemia of chronic disease and Type I diabetes mellitus and managed using an intraoral degloving approach exclusively. This has proved to be a procedure ensuring better blood supply, decreased morbidity, precluding an elaborate reconstruction procedure and an overall reduction in cost. The advantages, scientific basis, rationale and pitfalls have been discussed briefly.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 73%

Degloving Approach for the Management of Extensive Mandibular Osteomyelitis

Sharma

Grewal³

2020

Journal of Craniofacial Surgery

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“…et al [35] research the response of mandibular osteomyelitis treated by surgical decortication with disruption of the affected adjacent periosteum in concert with long-term targeted antibiotic therapy. The hypothesis is that, by removing the buccal cortical plate and disrupting the hypertrophically inflamed adjacent periosteum, the medullary bone will be brought in contact with bleeding tissue and circulating immunologic factors and antibiotics, which will promote definitive resolution.…”

Section: Introductionmentioning

confidence: 99%

Substantiation Stages of Rehabilitation at the Patients with Metaepiphyseal Osteomyelitis

Mykolaiovych¹

2017

AJP

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Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to the socio-psychological rehabilitation. Purpose of research is determination volume of methods for rehabilitation this group of patients. In our study we carried out sociological survey, using own questionnaire. On the basic question of the questionnaire -does the disease influence to the realization of vital important plans in a patient's life, 8 (15.1%) respondents had been answered, that osteomyelitis destroyed all plans in their life. The given conclusion was shown primary among male -patients -18.2%, than among female -only 10% (p >0.05). Volume of rehabilitation we combined with issues of abilitation -the system of therapeutic measures, which should prevent and eliminate pathological conditions at the children with metaepiphyseal osteomyelitis.

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“…12 Thus, decorticalization and rupture of the affected adjacent periosteum provided an immune-mediated response and accelerated the arrival of the antibiotic, helping with the definitive resolution of the condition and preservation of noble structures. 14 On the contrary, hyperbaric oxygen has also been used as an adjuvant therapy in the treatment of chronic osteomyelitis, especially in recurrent cases. 15 Hyperbaric oxygen therapy increases the pressure of oxygen and the concentration of reactive oxygen species in the blood and tissues.…”

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confidence: 99%