만성경화성 하악골골수염의 임상적검토 - 외측피질골제거술 및 동주요법(국소화학요법) 병용의 증례에 관하여 -
Clinical observations on mandibular chronic osteomyelitis - Combination therapy of decortication and intra-arterial infusion chemotherapy -
구로이와 이치로, 마츠우라 히로아키, 아베 아수시, 가토 뮤지오, 아리지 요시코, 쿠리타 켄이치,
소속 상세정보
구로이와 이치로 ( ) - 아이치학원대학 치학부 구강외과학제1강좌
마츠우라 히로아키 ( ) - 아이치학원대학 치학부 구강외과학제1강좌
아베 아수시 ( ) - 아이치학원대학 치학부 구강외과학제1강좌
가토 뮤지오 ( ) - 아이치학원대학 치학부 구강외과학제1강좌
아리지 요시코 ( ) - 아이치학원대학 치학부 치과방사선학강좌
쿠리타 켄이치 ( ) - 아이치학원대학 치학부 구강외과학제1강좌
KMID : 0355620080340030350
Abstract
Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intra-arterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.
키워드
Chronic osteomyelitis;Diffuse osteosclerosis; Intra-arterial infusion; Antibiotic; Decortication
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