Surgical Management of Primary Chronic Osteomyelitis: A Long-Term Retrospective Analysis
Purpose
The purpose of this study is to present an extensive review of primary chronic osteomyelitis (PCO) and present long-term treatment results in 4 patients.
Patients and Methods
This is a retrospective case study analysis of 4 patients with documented PCO who were treated by a standardized surgical technique by 1 surgeon and were followed clinically and radiographically for a mean of 22 years.
Results
Based on follow-up visits to date and correspondence to the surgeon who treated these patients, there have been no radiographic recurrences of PCO in 4 patients followed 5, 23, 26, and 34 years, respectively. Complete symptomatic relief has been achieved in 3 of 4 patients; the fourth patient exhibits persistent recurrent myofascial pain.
Conclusion
The surgical technique discussed herein provides a viable alternative in the range of potential treatment options for this uncommon disease of unknown etiology.
⁎Formerly, Resident, Oral and Maxillofacial Surgery, Mayo Clinic Graduate School of Medicine, Rochester, MN; and Currently, Private Practice, Oral and Facial Surgery Associates, Bennington, VT
†Associate Professor, Department of Laboratory Medicine and Pathology, Mayo Clinic Graduate School of Medicine, Rochester, MN
‡Professor of Surgery and Former Department Chair, Division of Oral and Maxillofacial Surgery, Mayo Clinic Graduate School of Medicine, Rochester, MN
Address correspondence and reprint requests to Dr Bevin: Oral and Facial Surgery Associates, 2 Harwood Dr, Bennington, VT 05201-5010
ABSTRACT