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Chronic Diffuse Sclerosing Osteomyelitis of the Mandible
Chronic diffuse sclerosing osteomyelitis (CDSO) is a disease that presents a rather unusual clinicoradiographic picture creating diagnostic and therapeutic problems. Involvement of the temporomandibular joint is not frequently observed in CDSO. We report a unique case of a 37-year-old male with cycl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585216/ https://www.ncbi.nlm.nih.gov/pubmed/31293951 http://dx.doi.org/10.4103/ams.ams_257_18 |
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author | Antao, Candice Jacinta Dinkar, Ajit Dattatray Khorate, Manisha Maruti Raut Dessai, Sapna S. |
author_facet | Antao, Candice Jacinta Dinkar, Ajit Dattatray Khorate, Manisha Maruti Raut Dessai, Sapna S. |
author_sort | Antao, Candice Jacinta |
collection | PubMed |
description | Chronic diffuse sclerosing osteomyelitis (CDSO) is a disease that presents a rather unusual clinicoradiographic picture creating diagnostic and therapeutic problems. Involvement of the temporomandibular joint is not frequently observed in CDSO. We report a unique case of a 37-year-old male with cyclic episodes of insidious swelling and progressive trismus for the past 4 years. Each episode was followed by spontaneous remission after 2 weeks. Radiographic examination detected unilateral coarse trabeculae with ground-glass appearance of the left hemimandible and resorption of ipsilateral condyle. Computed tomography demonstrated endosteal sclerosis, cortical thickening, and condylar resorption, while magnetic resonance imaging revealed altered marrow intensity with postcontrast enhancement of the surrounding musculature. Bone histopathology was consistent with the diagnosis of osteomyelitis. Palliative antibiotic therapy and regular follow-up were recommended. Of particular interest in the present case is ipsilateral condylar resorption not associated with any dermato-skeletal conditions, which is uncommon in CDSO of the mandible. |
format | Online Article Text |
id | pubmed-6585216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-65852162019-07-10 Chronic Diffuse Sclerosing Osteomyelitis of the Mandible Antao, Candice Jacinta Dinkar, Ajit Dattatray Khorate, Manisha Maruti Raut Dessai, Sapna S. Ann Maxillofac Surg Case Report - Infection Chronic diffuse sclerosing osteomyelitis (CDSO) is a disease that presents a rather unusual clinicoradiographic picture creating diagnostic and therapeutic problems. Involvement of the temporomandibular joint is not frequently observed in CDSO. We report a unique case of a 37-year-old male with cyclic episodes of insidious swelling and progressive trismus for the past 4 years. Each episode was followed by spontaneous remission after 2 weeks. Radiographic examination detected unilateral coarse trabeculae with ground-glass appearance of the left hemimandible and resorption of ipsilateral condyle. Computed tomography demonstrated endosteal sclerosis, cortical thickening, and condylar resorption, while magnetic resonance imaging revealed altered marrow intensity with postcontrast enhancement of the surrounding musculature. Bone histopathology was consistent with the diagnosis of osteomyelitis. Palliative antibiotic therapy and regular follow-up were recommended. Of particular interest in the present case is ipsilateral condylar resorption not associated with any dermato-skeletal conditions, which is uncommon in CDSO of the mandible. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6585216/ /pubmed/31293951 http://dx.doi.org/10.4103/ams.ams_257_18 Text en Copyright: © 2019 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report - Infection Antao, Candice Jacinta Dinkar, Ajit Dattatray Khorate, Manisha Maruti Raut Dessai, Sapna S. Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title | Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title_full | Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title_fullStr | Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title_full_unstemmed | Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title_short | Chronic Diffuse Sclerosing Osteomyelitis of the Mandible |
title_sort | chronic diffuse sclerosing osteomyelitis of the mandible |
topic | Case Report - Infection |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585216/ https://www.ncbi.nlm.nih.gov/pubmed/31293951 http://dx.doi.org/10.4103/ams.ams_257_18 |
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