Radical Surgical Approach to Chronic Suppurative Osteomyelitis: Case Report

Diana Carolina Vargas-Rojas, Arturo Rodriguez-Flores, David Moreno-Villalobos, Victor Chumpitaz-Cerrate, Lesly Chávez-Rimache

Research output: Contribution to journalArticlepeer-review

Abstract

Diabetes mellitus is a systemic condition potentially related to an increased risk of progression of various infections such as chronic osteomyelitis by accelerating the inflammatory process with bone tissue necrosis and suppuration. Therefore, if there is no proper management of these infections, they can be life-threatening as they spread to deeper spaces in the head and neck. We describe the case of a 52-year-old male patient with a history of diabetes mellitus and grade III osteoarthritis who was diagnosed with chronic suppurative osteomyelitis of the mandible. He underwent a multidisciplinary surgical intervention in which he underwent a hemimandibulectomy with immediate mandibular reconstruction. The present case highlights the importance of early and radical treatment of patients with chronic suppurative osteomyelitis of the mandible and systemic comorbidities. In addition, this case presents a review of diabetes mellitus and the risk of developing odontogenic infections and complications when invading deeper spaces in the head and neck. Therefore, in this population, careful planning is required for early surgical and pharmacological treatment.

Translated title of the contributionAbordaje quirúrgico radical de una osteomielitis crónica supurativa: reporte de caso
Original languageEnglish
Pages (from-to)14-20
Number of pages7
JournalOdovtos - International Journal of Dental Sciences
Volume26
Issue number1
DOIs
StatePublished - 1 Jan 2023
Externally publishedYes

Keywords

  • Case report
  • Diabetes mellitus
  • Drug therapy
  • Mandibular reconstruction
  • Osteoarthritis
  • Osteomyelitis

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