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OSTEOMYELITIS
DEF.:
DEF It may be defined as a inflammatory condition of bone that
Pericoronal
4) Traumatic injury
5) Middle ear infection & upper respiratory tract infection through haematogenous route.
7) Peritonsillar abscess
PATHOGENESI
1) S
Virulent Organasim get entry winto medullary cavity via many routes.
6) Pus travel through haversion & volkaman's canal & accumulation beneath the
periosteum & elevating it from cortex & there by reducing the blood supply.
7. Reduced blood supply causes necrosis of bone.
8. Then pus penentrate the periosteum & mucosal & cuteneous fisttulae
develop & thereby discharging the purulent pus.
9. Small section of necrotic bone may get completely lysed while large get
localized & get separated from the shell of new bone by bed of
grannulation tissue. The dead bone is surrounded by the new viable bone
this is called involucrum.
10.Involucrum contain one or more holes on the surface pus find its way
from these orifices.
C/F
Medullary space are filled with inflammatory exudates that may or may not contain the pus.
Inflammatory cells are chiefly neutrophilic, polymorphonuclear leucocytes.
Rarely -1) Lymphocytes
2) Plasma cells
Trauma
Radiation
Osteomyelitis
Infection Radiation
Site :- Mandible > Maxilla
Sex :- M>F
Sym.:- Intense pain, fistula
R/F
Osteolytic region & appearance of late forming sequestra
MANAGEMENT OF OSTEOMYELITIS :
a. Inscision & Drianage
b. Irrigation & Debriment of the necrotic area.
c. Sequestromy
d. Saucerization
e. Closed wound irrigation & suction -
f. Decortication
g. Hyper baric oxygen