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January 1938


Arch Otolaryngol. 1938;27(1):35-41. doi:10.1001/archotol.1938.00650030042002

The mandible differs from other bones of the body in that it is exposed on all sides and consequently is open to injuries and infections from any or all directions. Infection may travel through a tooth pulp or socket directly to the interior of the bone. On the other hand, hematogenous infection of the mandible or infection along a nerve trunk is probably no different from that in other bones. Osteomyelitis of the mandible probably resembles osteomyelitis following sinus disease in a bone of the skull or in some other bone of the face. Much has been written by Mosher, Fuerstenberg and others on etiology, pathology and treatment of osteomyelitis following sinus disease, and these writings apply equally well to the subject of this paper.

The etiology is so well understood that, aside from the fact that there are undoubtedly certain patients who are predisposed toward osteomyelitic infection, osteomyelitis of

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