An update on osteomyelitis treatment in a pycnodysostosis patient

Publication date: Available online 26 June 2018
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Eduardo Morato de Oliveira, José Alcides Almeida de Arruda, Polianne Alves Mendes Nascimento, Isabela Moreira Neiva, Ricardo Alves Mesquita, Leandro Napier Souza
PurposeThe aims of the present study were to discuss the demographic distribution and clinical characteristics of pycnodysostosis (PYCD) patients, as well as the onset of osteomyelitis and its treatment using a literature review. We also report an update of treatment of mandibular osteomyelitis in a PYCD patient using a buccal fat pad (BFP) as a free graft.Patients and MethodsThe study was carried out in two steps. In the first part, an electronic search was undertaken in PubMed in March/2018, with 17 articles being included. In the second, we report a case of mandibular osteomyelitis in a 30-year-old female patient with PYCD treated by sequestrectomy and with the use of a BFP as a free graft, with a follow-up of 24 months.ResultsTwenty-one cases reported osteomyelitis of the jaws in PYCD patients. Dental extraction, mandibular fracture and one case of facial trauma represented the causes of mandibular osteomyelitis. Treatment performed by the authors included: resection associated with antibiotics and sequestrectomy alone or associated with antibiotics.ConclusionDespite the good results of the case presented here, further studies using BFP as an adjuvant key for jaw osteomyelitis are necessary to elucidate its clinical efficiency and safety.



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