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Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw
BACKGROUND: Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141126/ https://www.ncbi.nlm.nih.gov/pubmed/34022884 http://dx.doi.org/10.1186/s12891-021-04340-3 |
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author | Sodnom-Ish, Buyanbileg Eo, Mi Young Seo, Mi Hyun Lee, Jong Ho Kim, Soung Min |
author_facet | Sodnom-Ish, Buyanbileg Eo, Mi Young Seo, Mi Hyun Lee, Jong Ho Kim, Soung Min |
author_sort | Sodnom-Ish, Buyanbileg |
collection | PubMed |
description | BACKGROUND: Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM persists and is of important concern in modern medicine. Active negative pressure is known to prevent post-operative hematoma; decrease the number of bacterial pathogens, accumulation of toxins, and necrotic tissue; and promote osteogenesis and angiogenesis with the use of a draining tube such as the Jackson-Pratt (JP) or Hemovac. The purpose of this study was to assess the effectiveness of decompression for the treatment of OM in the jaw. METHODS: This retrospective study included a total of 130 patients, 55 patients with sclerosing OM and 75 patients with suppurative OM were included. The radiographic bone densities expressed as a grayscale values (GSVs), were measured using an easy digitalized panoramic analysis (EDPA) method, processed on the conditional inference tree, generated by the R program® 3.2.3 with a probability of 96.8%. Rectangle annotation analysis of INFINITT PACS® (INFINITT Healthcare, Seoul, Korea) of 50 mm(2) was determined as the region of interest (ROI). Student’s t-test and ANOVA were used to determine significance (p < 0.05). RESULTS: Significant changes was observed between radiographic bone density in the sclerosing type with drain and without drain at the six-month and one-year follow-up (p < 0.05). Significant difference was demonstrated between the suppurative OM with drain and without drain groups at the one-year follow-up (p < 0.05). CONCLUSION: The OM groups with drain exhibited more enhanced bone density compared to the groups without drain at the six-month and one-year follow-ups. The drain insertion for decompression is effective for the management of sclerosing and suppurative OM. It is recommended to implement it for the management of OM. |
format | Online Article Text |
id | pubmed-8141126 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81411262021-05-25 Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw Sodnom-Ish, Buyanbileg Eo, Mi Young Seo, Mi Hyun Lee, Jong Ho Kim, Soung Min BMC Musculoskelet Disord Research Article BACKGROUND: Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM persists and is of important concern in modern medicine. Active negative pressure is known to prevent post-operative hematoma; decrease the number of bacterial pathogens, accumulation of toxins, and necrotic tissue; and promote osteogenesis and angiogenesis with the use of a draining tube such as the Jackson-Pratt (JP) or Hemovac. The purpose of this study was to assess the effectiveness of decompression for the treatment of OM in the jaw. METHODS: This retrospective study included a total of 130 patients, 55 patients with sclerosing OM and 75 patients with suppurative OM were included. The radiographic bone densities expressed as a grayscale values (GSVs), were measured using an easy digitalized panoramic analysis (EDPA) method, processed on the conditional inference tree, generated by the R program® 3.2.3 with a probability of 96.8%. Rectangle annotation analysis of INFINITT PACS® (INFINITT Healthcare, Seoul, Korea) of 50 mm(2) was determined as the region of interest (ROI). Student’s t-test and ANOVA were used to determine significance (p < 0.05). RESULTS: Significant changes was observed between radiographic bone density in the sclerosing type with drain and without drain at the six-month and one-year follow-up (p < 0.05). Significant difference was demonstrated between the suppurative OM with drain and without drain groups at the one-year follow-up (p < 0.05). CONCLUSION: The OM groups with drain exhibited more enhanced bone density compared to the groups without drain at the six-month and one-year follow-ups. The drain insertion for decompression is effective for the management of sclerosing and suppurative OM. It is recommended to implement it for the management of OM. BioMed Central 2021-05-22 /pmc/articles/PMC8141126/ /pubmed/34022884 http://dx.doi.org/10.1186/s12891-021-04340-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Sodnom-Ish, Buyanbileg Eo, Mi Young Seo, Mi Hyun Lee, Jong Ho Kim, Soung Min Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title_full | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title_fullStr | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title_full_unstemmed | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title_short | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
title_sort | decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141126/ https://www.ncbi.nlm.nih.gov/pubmed/34022884 http://dx.doi.org/10.1186/s12891-021-04340-3 |
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