title: Mandibular osteomyelitis and fracture in a patient with pyknodysostosis.
abstract: Pyknodysostosis is a rare, recessive, hereditary, autosomal disease belonging to the group of bone dysplasias. Complications such as osteomyelitis and fractures of the mandible are not uncommon and appear in the most varied forms. We report a case of chronic osteomyelitis with subsequent mandible fracture, which was successfully treated with the use of a reconstruction plate and antibiotic therapy. This article outlines the clinical and radiographic characteristics of this condition based on the clinical case described and proposes an approach regarding the best form of treatment. Considering the risks of fracture subsequent to removal of the graft from long bones as well as the presence of chronic infection, difficult-to-defeat infection, and bone contact on the compression band, the best choice is a more conservative treatment.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Dentistry College Pernambuco, Pernambuco State University, Recife, Brazil. riedelfrota@uol.com.br
authors.forename: Riedel
authors.initials: R
authors.lastname: Frota
authors.forename: Rafael Avelar
authors.initials: RA
authors.lastname: Linard
authors.forename: Emanuel Dias
authors.initials: ED
authors.lastname: de Oliveira e Silva
authors.forename: Azoubel Antonio
authors.initials: AA
authors.lastname: Antunes
authors.forename: Ricardo Wathson Feitosa
authors.initials: RW
authors.lastname: Carvalho
authors.forename: Thiago de Santana
authors.initials: Tde S
authors.lastname: Santos
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001860:Bone Plates; D004413:Dysostoses / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents