41. Osteomyelitis: Traumatic And Atypical Forms Flashcards

1
Q

Osteomyelitis of the jaw bone

A
  • Infection and inflammation of the bone and bone marrow
  • Acute or chronic
  • Varied aetiology
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2
Q

Etiological factors of osteomyelitis in the jaw bone

A
  • Infantile Osteomyelitis=>Perinatal trauma
  • Chronic Diffuse Sclerosing Osteomyelitis=> Hyperactive immunological response
  • Garre’s Sclerosing Osteomyelitis=>Over-inflammatory reaction in the periosteum
  • Traumatic Osteomyelitis=>Open fractures leading to multiple bacterial infections
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3
Q

Clinical features of infantile osteomyelitis

A
  • Swelling of the face=> edema of the eyelids
  • Subperiosteal abscesses=> alveolar mucosa and palate
  • Systemic signs=> Fever
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4
Q

Complications associated with infantile osteomyelitis

A
  • Spread to the eye and brain
  • Facial deformities
  • Serious damage to jaw growth
  • Loss of teeth and bone
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5
Q

Teatment for infantile osteomyelitis

A
  • Intravenous antibiotics and drainage of abscess
  • Antibiotics =>penicillin and clindamycin recommended
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6
Q

Clinical features of chronic diffuse sclerosing osteomyelitis

A
  • Recurrent pain and swelling
  • No suppuration or abscess formation
  • Intermingled sclerotic and osteolytic lesions
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7
Q

Treatment for chronic diffuse sclerosing osteomyelitis

A
  • NSAIDs, corticosteroids, hyperbaric oxygen therapy
  • Muscle relaxants
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8
Q

Clinical features of Garre’s sclerosing osteomyelitis

A
  • Localized, unilateral, hard mandibular swelling=> Little tenderness
  • Episodic pain w/ dormant periods
  • Facial asymmetry
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9
Q

Treatment for Garre’s sclerosing osteomyelitis

A
  • Elimination of the cause of infection =>
  • Tooth extraction or endodontic treatment
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10
Q

How traumatic osteomyelitis is classified

A
  • Stage 1=>Medullary osteomyelitis (confined to the medullary cavity)
  • Stage 2=>Superficial osteomyelitis (involves only the cortical bone)
  • Stage 3=> Localized osteomyelitis (involves both cortical and medullary bone)
  • Stage 4=> Diffuse osteomyelitis (involves entire thickness of the bone with loss of stability)
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11
Q

Clinical features of traumatic osteomyelitis

A
  • Pain, edema, swelling, and erythema=>
  • At site of previous surgery or trauma
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12
Q

Treatment for traumatic osteomyelitis

A
  • Surgical debridement
  • Systemic and local antibiotic treatment
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