caa a22 4500 445851023 CHVBK 20180317145413.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10006-010-0248-3 doi (NATIONALLICENCE)springer-10.1007/s10006-010-0248-3 Surgical management of primary chronic osteomyelitis of the jaws in children: a prospective analysis of five cases and review of the literature [Elektronische Daten] [Nadia Theologie-Lygidakis, Ourania Schoinohoriti, Ioannis Iatrou] Introduction: Primary chronic osteomyelitis (PCO) of the jaws is an uncommon non-suppurative inflammatory disease of unknown origin. Although the disease is not age-specific, only sparse cases with onset during childhood or adolescence have been reported in the literature. Purpose: This study seeks to present five cases of maxillofacial PCO in children and to evaluate the effectiveness of the applied therapeutic protocol. A review of the literature concerning diagnosis and treatment of PCO with special emphasis on surgical therapy is also performed. Patients and methods: Demographic data, clinical, radiographic and histopathologic findings, blood tests results, and the treatment protocol applied to five young patients suffering from PCO and referred to the Department of Oral and Maxillofacial Surgery at "A. & P. Kyriakou Children's Hospital” over the past 5years are presented. Decortication and contouring of the affected bone were performed; antibiotics were administered for a short period of time and the patients remained under follow-up evaluation. Results: The posterior mandible was affected in four cases and the maxilla-zygomatic bone in one case. All patients showed remission of signs and symptoms after surgical treatment. The postsurgical clinical course was uneventful in all cases. However, recurrences have been noted, as reported in the literature. Conclusion: PCO of the jaws is a complex clinical entity, presenting both a diagnostic and therapeutic challenge, especially in young patients. Surgical treatment in conjunction with antibiotics and non-steroid anti-inflammatory drugs proved to be beneficial and to improve considerably the patients' quality of life. Nevertheless, exacerbation of the disease may appear and regular follow-up of the patients is required. Springer-Verlag, 2010 Primary chronic osteomyelitis nationallicence Jaws nationallicence Children nationallicence Surgical treatment nationallicence Theologie-Lygidakis Nadia University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut Schoinohoriti Ourania University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut Iatrou Ioannis University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut Oral and Maxillofacial Surgery Springer-Verlag 15/1(2011-03-01), 41-50 1865-1550 15:1<41 2011 15 10006 https://doi.org/10.1007/s10006-010-0248-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10006-010-0248-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Theologie-Lygidakis Nadia University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut NATIONALLICENCE 700 1- Schoinohoriti Ourania University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut NATIONALLICENCE 700 1- Iatrou Ioannis University Department of Oral and Maxillofacial Surgery, "A. & P. Kyriakou” Children's Hospital, Dental School, University of Athens, Athens, Greece aut NATIONALLICENCE 773 0- Oral and Maxillofacial Surgery Springer-Verlag 15/1(2011-03-01), 41-50 1865-1550 15:1<41 2011 15 10006 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer