Abstract

DIAZ FERNANDEZ, JOSÉ MANUEL  and  PECORA ARIAS, PABLO. Value of decortication in the treatment of diffuse sclerosing osteomyelitis of the mandible. Rev Cubana Ortop Traumatol [online]. 1998, vol.12, n.1-2, pp. 61-65. ISSN 1561-3100.

16 patients with diffuse sclerosing osteomyelites of the mandible, among whom 27 decortications were performed, were retrospectively evaluated. More than half of them were asymptomatic during 3.9 years after surgery, whereas the rest underwent decortication from 2 to 5 times. Symptoms recurred at 6.3 months as an average after the operation. Variables such as sex, localization, extension and chronicity of the disease did not seem to influence on the results, but age, the dental condition in the affected area or close to it and the deficient execution of the surgical procedure did affect the results. The two last aspects were considered as possible causes of the failures. As regards the promissory results obtained in 5 patients in whom decortication had failed, the application of therapeutics with myorelaxants and muscular feedback-based on the hypothesis that such osteomyelitis is a reactive osteal hyperplasia attributed to a chronic tendoperiostitis by hiperfusion of the masseter and digastric muscles- opens new horizons in the treatment of these cases.

Keywords : OSTEOMYELITIS [surgery]; MANDIBULAR DISEASES [surgery].

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