J Korean Assoc Oral Maxillofac Surg.  2005 Oct;31(5):436-439.

Limited or Le fort I down fracture access for widespread osteomyelitis of maxilla

Affiliations
  • 1Div. of Oral and Maxillofacial Surgery, Department of Dentistry, Uijeongbu St. Mary's Hospital, The Catholic University of Korea. omskim@catholic.ac.kr
  • 2Div. of Prosthodontics, Department of Dentistry, Uijeongbu St. Mary's Hospital, The Catholic University of Korea.
  • 3Department of Oral and Maxillofacial Surgery, Eulji university, School of medicine, Seoul, Korea.

Abstract

PURPOSE: To compare the case of widespread maxillary osteomyelitis treated through different approach. METHOD: We report the two case of osteomyelitis. In a case, we had gradually removed the small amount of sequestrum for several times. In the other case, intended Le Fort I fracture was done to approach the lesion. RESULT: In the gradual sequestrectomy case, bone formations were found after 4 months. In the other case, after intended Le Fort I down fracture, sequestrectomy of Lt. maxilla was done with the labiobuccal alveolar bone preserved for the prosthodontic treatment.

Keyword

Osteomyelitis; Maxilla

MeSH Terms

Maxilla*
Osteomyelitis*
Prosthodontics
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