Hasan Tareq Bin Noor¹, Parimol Kishore Dev², Nahiyan Sabir³, Zarin Islam4,
Muhammad Alamgir Hussain5
Muhammad Alamgir Hussain5
1. Associate Professor. Maxillofacial Surgery, Department of ENT & Head-Neck Surgery, Jalalabad Ragib-Rabeya Medical College, Sylhet.
2. Associate Professor, Department of Anaesthesia, Analgesia & Intensive Care Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet
3. Register, Department of ENT & Head-Neck Surgery, Jalalabad Ragib-Rabeya Medical College, Sylhet
4. MS Phase-B student, Department of Prosthodontics, Bangabandhu Sheikh Mujib Medical University, Dhaka
5. General Dental Practitioner, Sylhet.
Abstract
Osteomyelitis is termed as an infection of bone along with the marrow space. It is relatively common at long bones, around the maxillofacial region incidence of osteomyelitis is increasing due to lack of proper oral hygiene maintenance, awareness of patients, as well as lack of proper dental management facilities at rural areas. Chronic suppurative osteomyelitis is relatively common in mandible in comparison with maxilla, due to its least amount of blood supply. Chronic suppurative osteomyelitis (CSO) usually contributed by inappropriate use of antibiotics, lack of host defense. Microbiologically main responsible organisms are pyogenic bacteria, occasionally mycobacterium species. Diagnosis of the disease is entirely based upon proper history taking with precise clinical examination, with the aids of radiological support and microbial studies. Management of mandibular chronic suppurative osteomyelitis entirely conducted by various phases of surgery such as: Elimination of primary source. surgical curettage, saucerization, decortication, fenestration, resection of mandible etc. Its a retrospective cross sectional study where we reviewed 30 patients who underwent for surgical management of chronic osteomyelitis of mandible from June 2021 to June 2023. Data including age, sex, microbiological findings, mode of surgical management and complications were collected from medical charts. Our study shows most of the patient with CSO were male 23(77%), among them most of them were treated by surgical curettage 12(40%). Main responsible micro-organism associated with CSO were pyogenic bacteria 26(87%). The aim of the present study was to analyze the clinical presentation, surgical approach and complications regarding the management of patients with Chronic suppurative osteomyelitis.
Key Words: Chronic Suppurative Osteomyelitis (CSO), Curettage, Saucerization