Clinical observations of maxillary osteomyelitis with surgical treatment.
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概要
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Cases of maxillary osteomyelitis who were treated surgically in our hospital for the past 27 years were investigated. The results were as follows:<BR>1) The number of cases of maxillary osteomyelitis was 7 (11.7%) out of all osteomyelitis cases who underwent surgical treatment.<BR>2) Sex distribution was almost the same, and all cases were over 40 years of age, mean age was 63 years. The underlying disease was confirmed in only one case who had diabetes mellitus. Hematological examination revealed no abnormal findings.<BR>3) The most common site in the maxilla was the molar region, and the cause of infection was teeth extraction in 3 cases.<BR>4) Radiographically sequestral type was found in 2 cases, osteolytic type in 2, and osteosclerotic type in 3. Radiopaque changes of the maxillary sinus were found in 5 cases.<BR>5) Sequestrectomy and curettage were performed, and no case had recurrence, however, in cases who had communication with the maxillary sinus, the maxillary sinusitis and postoperative oromaxillary fistula should be taken into consideration.
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