Osteomyelitis after bilateral sagittal split osteotomy: case report and a review of the management.
OBJECTIVE
The purpose of this paper is to report a case of osteomyelitis following a bilateral sagittal split osteotomy in a patient who underwent 2-jaw surgery. A review of the management of osteomyelitis is included, with a discussion of implications for the reconstruction of the mandible after treatment for osteomyelitis.


METHODS
A case of a rapidly progressing osteomyelitis is presented with a detailed review of the management of osteomyelitis, using this case to illustrate key points of management.


RESULTS
In a very short period of time the patient lost a significant portion of the left side of her mandible. The actual management that she underwent, as well as some of the controversies that are present with the treatment of osteomyelitis, is discussed.


CONCLUSIONS
Although osteomyelitis of the mandible usually is seen after odontogenic infections and trauma, it can occur in patients undergoing elective osteotomies. When recognized, it should be aggressively treated.
Salman
Salam
S
Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky, Lexington, Kentucky, USA.
Young
Michael
M
Van Sickels
Joseph E
JE
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001860:Bone Plates; D001863:Bone Screws; D002981:Clindamycin / Q000008:administration & dosage; D004322:Drainage; D004756:Enterobacteriaceae Infections / Q000188:drug therapy / Q000601:surgery; D000077727:Ertapenem; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D019248:Jaw Fixation Techniques / Q000009:adverse effects* / Q000295:instrumentation; D008334:Mandible / Q000601:surgery*; D015242:Ofloxacin / Q000008:administration & dosage; D024343:Open Bite / Q000601:surgery; D056948:Orthognathic Surgical Procedures / Q000009:adverse effects*; D010019:Osteomyelitis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D010027:Osteotomy / Q000009:adverse effects; D019340:Osteotomy, Le Fort; D063173:Retrognathia / Q000601:surgery; D013290:Streptococcal Infections / Q000188:drug therapy / Q000601:surgery; D047090:beta-Lactams / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D047090:beta-Lactams; D002981:Clindamycin; D015242:Ofloxacin; D000077727:Ertapenem