Endoscope-assisted surgery in the treatment of odontogenic peripheral osteomyelitis of posterior mandible

Abstract

Abstract: PURPOSE: To evaluate the possibility of using an endoscope in the treatment of patients with odontogenic peripheral osteomyelitis of the posterior mandible (OPOPM). METHODS: Between March 2012 and September 2014, 5 consecutive patients who had been diagnosed with OPOPM were included in the study. After receiving imaging examinations and general preoperative examinations, the patients underwent endoscope-assisted surgical treatment, e.g., bone curettage and sequestrum excochleation. The data collected included the duration of the operation, complications, and patients' degree of satisfaction. RESULTS: The average duration of the operation, performed through an intraoral incision, was 45.8 min. Postoperative curative effects were retrospectively observed at 1 week, 3 months, and half a year. One patient reported postoperative swelling in the mandibular angle. The incision was minimal and did not leave any postoperative scar on the face. In total, all patients recovered free of severe complications and were satisfied with the results of the operation. CONCLUSIONS: Owing to its minimally invasive intraoral incision, endoscope-assisted surgery for the treatment of OPOPM can maintain external facial integrity without surgical scars.

Key words: Endoscope, Peripheral osteomyelitis of the posterior mandible, Minimally invasive therapy

CLC Number:

R782.05

LI Shi-hao, HUANG Zi-xian, HUANG Zhi-quan, ZHANG Da-min, LIANG Qi-xiang, CHEN Wei-liang. Endoscope-assisted surgery in the treatment of odontogenic peripheral osteomyelitis of posterior mandible[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(6): 553-556.

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