耳下腺部に膿ようを形成した下顎頭部骨髄炎の一例

DOI Web Site 参考文献11件
  • 山田 朋弘
    岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野
  • 森谷 徳文
    岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野 香川労災病院歯科口腔外科
  • 三島 克章
    岡山大学医学部・歯学部付属病院口腔外科
  • 近藤 誠二
    岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野
  • 藤原 久美子
    札幌医科大学口腔外科学講座
  • 香川 智正
    岡山大学医学部・歯学部付属病院口腔外科

書誌事項

タイトル別名
  • A case of osteomyelitis of the mandibular condyle accompanied by abscess formation in the parotid region
  • ショウレイ ホウコク ジカセンブ ニ ノウヨウ オ ケイセイ シタ カガク トウブ コツズイエン ノ イチレイ

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A rare case of osteomyelitis of the mandibular condyle is reported. A 35-year-old woman presented with pain in the right parotid region. A dull pain had developed in the right parotid region the previous month, and swelling and pain gradually increased. At presentation, the interincisal distance was 12 mm. Radiographs revealed no obvious findings of inflammation. We doubted that her clinical symptoms were caused by parotitis and administered cefditoren pivoxil, but her symptoms worsened. The parotid gland was normal on sialography. However, osteomyelitis of the right condylar head of the mandible was found on CT, MM, and bone scintigraphy. An abscess was noted in the right parotid region. We therefore performedbacterial examinations by centesis.<BR>Microbiological examination showed an abscess associated with a mixed infection involving Gram-negative bacteria, with a dominance ofActinobacillus actinomycetemcomitans.Antibiotic treatment was switched to levofloxacin totreat this organism. Inflammation subsided and after 7 days. The interincisal distance returned to 30mm. There was no inflammatory recurrence for 12 months. A CT scan obtained after 5 months showed signs of remineralization in the condylar head of the mandible. In this patient, a blood-borne or local infection in the mandible appasently caused a bacterially induced form of periodontal disease.

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