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January 1982

Chronic Osteomyelitis Following Mandibular Fractures and Its Treatment

Author Affiliations

From the Department of Otolaryngology, University of Minnesota, Minneapolis (Drs Giordano, Boies, and Maisel); the Institute of Reconstructive Plastic Surgery, New York (Dr Foster); St Paul Ramsey Medical Center, St Paul (Dr Boies); and Hennepin Medical Center, Minneapolis (Dr Maisel).

Arch Otolaryngol. 1982;108(1):30-33. doi:10.1001/archotol.1982.00790490032008

• In a review of 350 patients with mandibular fractures between 1976 and 1978, eight cases of chronic mandibular osteomyelitis were found. Treatment in all cases consisted of intravenous antibiotics and debridement. In addition, in some cases a suction-irrigation system was used after debridement. From this study, the following can be stated: (1) Osteomyelitis following mandibular fractures is uncommon. (2) Once chronic osteomyelitis has developed, aggressive antibiotic and surgical treatment is needed. (3) The use of the suction-irrigation system after debridement is an effective adjunctive aid in treating osteomyelitis. Cosmesis is superior to that obtained with older techniques because wounds are closed primarily.

(Arch Otolaryngol 1982;108:30-33)