하악 체부에서 과두부까지 이환된 만성 화농성 골수염 환자의 보존적 외과술식을 이용한 치험례

• Published in: Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol. 35; no. 6; pp. 474 - 480
• Main Authors: 이대정(Dae-jeong Lee), 최문기(Moon-ki Choi), 오승환(Seung-hwan Oh), 이종복(Jong-bok Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한구강악안면외과학회 30.12.2009; Korean Association Of Oral And Maxillofacial Surgeons
• Subjects: 치의학
• ISSN: 2234-7550; 2234-5930

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. KCI Citation Count: 1