Surgical treatment of osteomyelitis after fracture of the lower jaw

Author: 
RosenTsolov and GeorgiYordanov

Facial fractures are often the result of physical fights and traffic or sports accidents. The presented case of a patient admitted for treatment in a clinic with a fracture of the lower jaw after a fall while riding a bicycle is complicated by a concomitant disease - depressive disorder, which puts the treatment at risk outside the hospital environment. The patient was treated by placing standard Vassilev splints and soft fixation with elastics, using drug intravenous treatment with Clindamycin 600 milligrams 2 times a day, but during the patient's stay in the clinic he cut the elastics several times and this removes the fixation of both jaws. After a few weeks, the patient returned to the clinic with signs of an unhealed fracture and the presence of an acute inflammatory process - osteomyelitis. An intra incision was made and the osteomyletic focus was extraorally extracted, achieving good healing.

Page: 
5232-5234
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DOI: 
http://dx.doi.org/10.24327/23956429.ijcmpr202008890
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