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Osteomyelitis After Orthognathic Surgery – a Very Rare Case Report After Bilateral Sagittal Split Osteotomy in the Mandible

机译:正颌外科手术后的骨髓炎–双侧颌骨矢状劈开截骨术后的罕见病例报告

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Abstract Many complications are well known after orthognathic surgery. Osteomyelitis (OM) present in the facial bone skeleton is a somewhat uncommon finding; however its occurrence might vary because of many co-existing disorders and diseases. The early and late outcomes of most known surgical complications are predictable and mostly easy to treat. Often the multidisciplinary treatment and diagnosis of rare complications is important. Osteomyelitis (OM) is a very rare complication after surgery. In a very short time just after surgery the first symptoms start to occur. Quite often without any direct symptoms, it might be misdiagnosed as other postsurgical complications. After a short period of time when the bone starts to be affected, a quick, direct therapeutic approach needs to be performed. Accurate microbiological scrubs are very important and should be repeated in order to improve direct antibiotic usage. Intravenous antibiotics and long-term hyperbaric oxygen therapy seems to be the treatment of choice in the treatment of this condition. We present a rare case of osteomyelitis in a 46-year-old patient after two jaw orthognathic surgery in the left mandible basis after bilateral sagittal split osteotomy (BSSO).
机译:摘要正颌外科手术后许多并发症是众所周知的。面部骨骼中存在的骨髓炎(OM)有点罕见。但是,由于许多并存的疾病和疾病,其发生可能会有所不同。大多数已知手术并发症的早期和晚期结果是可预见的,并且大多易于治疗。通常,罕见并发症的多学科治疗和诊断很重要。骨髓炎(OM)是术后非常罕见的并发症。在手术后的很短时间内,第一批症状开始出现。通常没有任何直接的症状,它可能被误诊为其他术后并发症。在短时间内骨骼开始受到影响之后,需要执行快速,直接的治疗方法。准确的微生物擦洗非常重要,应该重复进行以改善直接使用抗生素的情况。静脉内抗生素和长期高压氧治疗似乎是该病的治疗选择。我们提出了一个罕见的病例,在一名46岁的患者在双侧矢状劈开截骨术(BSSO)后在左下颌骨的两个颌骨正颌外科手术后进行了一次颌骨正颌手术。

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