Chronic diffuse sclerosing osteomyelitis of the mandible

Antao, Candice Jacinta; Dinkar, Ajit D; Khorate, Manisha; Dessai, Sapna Sada Raut

doi:10.4103/ams.ams_257_18

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…Further, it identifies inflammatory and sequestration changes in osteomyelitis cases. 17 Postoperatively, imaging methods are also essentially applicable to establish the diagnosis of early or late complications.…”

Section: Discussionmentioning

confidence: 99%

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Shukhrat

Dar‐Odeh

Dilnoza

et al. 2022

Journal of Craniofacial Surgery

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Background: A heavy burden of cranio-maxillofacial complications may be encountered in corona virus disease-2019 patients due to the associated coagulopathy and inflammatory consequences of the disease. This study aims to describe clinical and radiographic features of these complications in 256 patients who developed 1 or more of the following complications: cavernous sinus thrombosis, osteomyelitis or necrosis of the jaws. Methods: Clinical assessment of cranial nerve function and general clinical assessment were performed. Imaging techniques used were multi-slice computed tomography, magnetic resonance imaging, and MRI with contrast enhancement. Results: Thromboembolism of brain and facial blood vessels were associated with inflammation and necrosis. Multi-slice computed tomography/MR angiography showed thrombotic occlusions of the internal carotid artery in the area of the cavernous sinus, and in the ophthalmic veins. Cavernous sinus thrombosis was attributed to coagulopathy and, inflammation of the paranasal sinuses, especially sphenoiditis. A noticeable increase in the size of the cavernous sinus was detected. Compression of the cranial nerves in the cavernous sinus (CS) region causes dysfunction and pathology in the corresponding regions.

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Section: Discussionmentioning

confidence: 99%

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Shukhrat

Dar‐Odeh

Dilnoza

et al. 2022

Journal of Craniofacial Surgery

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“…The aetiology of DSO is poorly understood, but multiple theories have been proposed in the literature. There are multiple confounding contributors towards the progression of disease, making diagnostic isolation difficult 7 . It was most commonly thought to be caused by low‐grade infection; however, the histological and bacteriological findings do not support this 8 …”

Section: Discussionmentioning

confidence: 99%

“…There are multiple confounding contributors towards the progression of disease, making diagnostic isolation difficult. 7 It was most commonly thought to be caused by low-grade infection; however, the histological and bacteriological findings do not support this. 8 There have also been reports of DSO in other long bones including the femur, tibia and humerus, which would suggest that there is an aetiological factor beyond dental infection.…”

Section: Aetiologymentioning

confidence: 99%

Diffuse sclerosing osteomyelitis of the mandible: A case‐report following the treatment over a 12‐year period

2021

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Diffuse sclerosing osteomyelitis (DSO) is a rare inflammatory disease of the bone with a poorly understood aetiology. We present a case of a 26-year-old female with DSO, who has been living with this condition for over 12 years. Many different therapies have been used to attempt to manage her symptoms. She is currently taking oral alendronic acid when she is symptomatic. This case report demonstrates the complexity of managing cases of DSO, as we focus on the multiple treatment modalities used in this case and the response to these. Many cases in literature discuss the use of intravenous bisphosphonates, however, this is linked with a higher risk of medically related osteonecrosis of the jaw. In addition to other reported case studies and research, this case provides further evidence to support the use of oral bisphosphonates in the management of DSO.

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“…Differential diagnosis may be difficult to perform and addressing pain and function impairment is the main goal. A correct diagnosis is crucial for accurate and effective treatments [ 7 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“Multidisciplinary management of post- infective osteoarthritis and secondary condylar resorption of temporomandibular joint: a case report in a 9 years-old female patient and a review of literature”

et al. 2022

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Background Osteoarthritis and condylar resorption of temporomandibular joint (TMJ) has rarely been reported in children as consequence of otologic disease. We describe the management of a case in a 9-year-old female as long-term complication of an otomastoiditis and review the literature currently available on this topic. Case presentation A nine-years-old female patient referred to Emergency Room of Bambino Gesù Children’s Research Hospital, IRCCS (Rome,Italy) for an acute pain in the left preauricular area and reduced mandibular movements. In the medical history an otomastoiditis and periorbital cellulitis was reported at the age of six with complete remission of symptoms after antibiotic treatment. No recent history of facial trauma and no previous orthodontic treatment were reported. She was referred to a pediatric dentist that conducted a clinical examination according to the Diagnostic Criteria of Temporomandibular Disorders (DC/TMD) and was diagnosed with bilateral myalgia of the masticatory muscles and arthralgia at the level of the left TMJ. Then, a complete diagnostic path was performed that included multidisciplinary examinations by a rheumatologist, infectious disease specialist, ear nose and throat (ENT) doctor, a maxillofacial surgeon and a medical imaging specialist. Differential diagnosis included juvenile idiopathic arthritis, idiopathic condylar resorption, trauma, degenerative joint disease, neurological disease. Finally, unilateral post-infective osteoarthritis of the left TMJ with resorption of mandibular condyle was diagnosed. The patient went through a pharmacological therapy with paracetamol associated to counselling, jaw exercises and occlusal bite plate. After 1 month, the patient showed significant reduction of orofacial pain and functional recovery that was confirmed also one-year post-treatment. The novelty of this clinical case lies in the accurate description of the multidisciplinary approach with clinical examination, the differential diagnosis process and the management of TMD with conservative treatment in a growing patient. Conclusions Septic arthritis of temporomandibular joint and condylar resorption were described as complications of acute otitis media and/or otomastoiditis in children. We evidenced the importance of long-term follow-up in children with acute media otitis or otomastoiditis due to the onset of TMJ diseases. Furthermore, in the multidisciplinary management of orofacial pain the role of pediatric dentist is crucial for the diagnostic and therapeutic pathway to avoid serious impairment of mandibular function.

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Chronic diffuse sclerosing osteomyelitis of the mandible

Cited by 9 publications

References 10 publications

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Diffuse sclerosing osteomyelitis of the mandible: A case‐report following the treatment over a 12‐year period

“Multidisciplinary management of post- infective osteoarthritis and secondary condylar resorption of temporomandibular joint: a case report in a 9 years-old female patient and a review of literature”

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