[Circumscribed mandibular osteitis in children due to hematogenous dissemination. Apropos of 5 clinical cases].
In children, mandibular swelling associated with an X-ray bone osteolysis may correspond to tumoral or infection diseases. Circumscribed osteitis of a child's mandibula, with no dental etiology occurs around 7-years of age, adjacent to a healthy first molar. Five cases reports were analyzed. Clinically, it is a bone swelling of the mandibula's lateral cortical associated with a soft tissue swelling. X-ray signs were not specific but all cases showed a bone lacuna with sharp outlines. Such clinical and X-ray signs strongly suggest diagnosis of osteitis which has a higher incidence than malignant tumors. The lack of dental pathology suggests bloodstream dissemination from another localized sepsis. Surgical removal of pathologic bone in addition to antibiotics (6 or 8 weeks) appears to be an effective treatment.
Franchi
G
G
Service de Chirurgie, Maxillo-Faciales, et Plastique Stomatologie, Hôpital d'enfants Armand-Trousseau, Paris.
Soupre
V
V
Karcenty
B
B
Buis
J
J
Diner
P A
PA
Vazquez
M P
MP
D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D002648:Child; D003475:Curettage; D005490:Focal Infection / Q000150:complications* / Q000188:drug therapy; D005499:Folliculitis / Q000382:microbiology; D006801:Humans; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D008795:Metronidazole / Q000627:therapeutic use; D010000:Osteitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000382:microbiology; D010031:Otitis / Q000382:microbiology; D010406:Penicillins / Q000627:therapeutic use; D010612:Pharyngitis / Q000382:microbiology; D011862:Radiography, Panoramic; D015572:Spiramycin / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D010406:Penicillins; D008795:Metronidazole; D015572:Spiramycin; D000658:Amoxicillin