Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 10 , Pages 2073-2085, October 2008

Surgical Management of Primary Chronic Osteomyelitis: A Long-Term Retrospective Analysis

  • Christopher R. Bevin, DMD, MD

      Affiliations

    • 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
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Bevin: Oral and Facial Surgery Associates, 2 Harwood Dr, Bennington, VT 05201-5010
    • ,
  • Carrie Y. Inwards, MD

      Affiliations

    • Associate Professor, Department of Laboratory Medicine and Pathology, Mayo Clinic Graduate School of Medicine, Rochester, MN
    • ,
  • Eugene E. Keller, DDS, MSD

      Affiliations

    • Professor of Surgery and Former Department Chair, Division of Oral and Maxillofacial Surgery, Mayo Clinic Graduate School of Medicine, Rochester, MN

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.

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S0278-2391(08)01082-3

doi:10.1016/j.joms.2008.06.029

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 10 , Pages 2073-2085, October 2008

Article Tools

* Image Usage & Resolution