Surgical Management Of Osteomylitis : Case Report

Abstract

Osteomyelitis is an inflammatory disease of the bone that begins as an infection of the medullary cavity, rapidly involving the Haversian system, and quickly extends to the periosteum of the area. There are many predisposing factors leading to osteomyelitis. When antimicrobial agents or drainage prove unsuccessful, acute osteomyelitis may become chronic. Conventional radiography, bone biopsy, culture, radioisotope bone scan, computed tomography, laser Doppler flowmetry, and magnetic resonance imaging are used for its diagnosis. We present a case of chronic suppurative osteomyelitis associated with a draining extraoral sinus at the right lower border of the mandible, which was successfully treated with sinus tract removal, segmental resection, and stabilization done with 12-hole and 10-hole reconstruction plates and bicortical screws of 10 mm under general anesthesia with nasal intubation.