An Update on Osteomyelitis Treatment in a Pycnodysostosis Patient

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Eduardo Morato de OliveiraLeandro Napier Souza

Abstract

The aims of the present study were to discuss the demographic distribution and clinical characteristics of patients with pycnodysostosis (PYCD) and the onset of osteomyelitis and its treatment using a literature review. The authors also report on an update of treatment of mandibular osteomyelitis in a patient with PYCD using a buccal fat pad (BFP) as a free graft. The study was carried out in 2 steps. In the first step, an electronic search was undertaken in PubMed in March 2018, with 17 articles being included. In the second step, the authors present a case of mandibular osteomyelitis in a 30-year-old woman with PYCD treated by sequestrectomy and a BFP as a free graft (follow-up, 24 months). Twenty-one cases of osteomyelitis of the jaws in patients with PYCD were included. Dental extraction, mandibular fracture, and 1 case of facial trauma represented the causes of mandibular osteomyelitis. Treatments included resection associated with antibiotics and sequestrectomy alone or associated with antibiotics. Despite the good results of the present case, further studies using the BFP as an adjuvant for jaw osteomyelitis are necessary to elucidate its clinical efficiency and safety.

Citations

Apr 24, 2019·Head and Neck Pathology·Camila de Nazaré Alves de Oliveira KatoRicardo Alves Mesquita
Feb 14, 2021·Brazilian Journal of Otorhinolaryngology·Glória Maria de FrançaHébel Cavalcanti Galvão
Jun 22, 2021·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Yehia El-MahallawyHaytham Al-Mahalawy

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