The value of follow-up MRI for evaluating restoration of bone marrow vascularization in mandibular diffuse sclerosing osteomyelitis: A case report

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  • KASAHARA Kazue
    Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University
  • HENNMI Hitoshi
    Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University
  • MINOWA Kazuyuki
    Department of Oral Radiology, Graduate School of Dental Medicine, Hokkaido University
  • MIKOYA Tadashi
    Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University
  • INOUE Nobuo
    Department of Geriatric Stomatology, Graduate School of Dental Medicine, Hokkaido University
  • TOTSUKA Yasunori
    Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University

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  • ＭＲＩで骨髄の血行の改善を経時的に評価できた下顎骨びまん性硬化性骨髄炎の１例
  • ショウレイ ホウコク MRI デ コツズイ ノ ケッコウ ノ カイゼン オ ケイジテキ ニ ヒョウカ デキタ カガクコツビマンセイ コウカセイ コツズイエン ノ 1レイ

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Abstract

Diffuse sclerosing osteomyelitis (DSO) of the mandible is a relatively uncommon, non-suppurative, chronic inflammation of obscure etiology. Various treatments have been reported, but long-term results remain unsatisfactory. We describe a patient who remarkably responded to hyperbaric oxygen therapy (HBO) in conjunction with conservative surgery (saucerisation and trepanation). Serial panoramic radiography, computed tomography, and magnetic resonance imaging (MRI) were employed to assess the healing progress. Follow-up MRI was the most sensitive technique for evaluating restoration of bone marrow vascularization. This study presents objective evidence of the success of our treatment, evaluated on the basis of images obtained over a 3-year follow-up period.

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