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KMID : 0355620090350060474
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2009 Volume.35 No. 6 p.474 ~ p.480
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CONSERVATIVE TREATMENT OF CHRONIC SUPPURATIVE OSTEOMYELITIS ON MANDIBULAR BODY TO CONDYLE AREA: A CASE REPORT
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Lee Dae-Jeong
Choi Moon-Ki
Oh Sung-Hwan
Lee Jong-Bok
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Abstract
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These is a cases of chronic suppurative osteomyelitis occurred in the mandibular body to condyle of 48-year-old male patient. Extensive bone destruction was noted on the right mandibular body, angle, ascending ramus, mandibular notch and condylar region. We made a treatment plan that radicular mandibular resection from body to condyle and mandibular reconstruction with vascularized fibular flap at first time. But, we could observe marked bone regeneration with only mild curettage, local wound care and massive antibiotic therapy. So we preserved the anterior ramus portion of mandible. Defected mandibular condyle was reconstructed with costochondral graft. In this paper we present the case of a patient who has chronic osteomyelitis in mandibular area.
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KEYWORD
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Chronic osteomyelitis, Conservative treatment
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