Osteomyelitis of the mandible in the patient with plasmocytoma – case report

Bal Wioletta Anna, Bąk Tomasz Krzysztof, Krasuska Beata, Topyła Weronika Sandra. Osteomyelitis of the mandible in the patient with plasmocytoma – case report. Journal of Education, Health and Sport. 2017;7(12):77-82. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1098557

http://ojs.ukw.edu.pl/index.php/johs/article/view/5100

 

 

 

 

 

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017).

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Authors 2017;

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 10.11.2017. Revised: 15.11.2017. Accepted: 09.12.2017.

 

 

 

 

 

Osteomyelitis of the mandible in the patient with plasmocytoma – case report

 

Wioletta Anna Bal

http://orcid.org/0000-0003-4992-5322

https://orcid.org/0000-0003-4992-5322

Student Medical University of Lublin, Poland

 

Tomasz Krzysztof Bąk

http://orcid.org/0000-0002-6062-0848

https://orcid.org/0000-0002-6062-0848

Chair and Clinic of Maxillofacial Surgery, Medical University of Lublin, Poland

M.D., D.D.S.

 

Beata Krasuska

http://orcid.org/0000-0001-8010-1642

https://orcid.org/0000-0001-8010-1642

Medical University of Lublin, Poland

Student, Medical University of Lublin

 

Weronika Sandra Topyła

http://orcid.org/0000-0002-3997-9952

https://orcid.org/0000-0002-3997-9952

Medical University of Lublin, Poland

Student, Medical University of Lublin

 

 

 

 

Key words: osteomyelitis, plasmocytoma, osteonecrosis

 

 

 

ABSTRACT

 

Osteomyelitis is an infection of bone which may be caused by infection carried to the bone via the bloodstream or from surrounding tissue. Treatment of osteomyelitis of the mandible is extremely difficult because of oral environment and teeth presence. Management often involves both debridement and antibiotic selection. Despite this, aggressive surgical interventions and conservative therapy are most important aspects of treatment.

Medication-related osteonecrosis of the jaw (MRONJ) is an avascular necrosis related to osteomyelitis and characterized by necrotic bone in the maxillofacial region. The prevalence of this is associated with treatment with high-potency bisphosphonates or denosumab and it seems to be getting increasingly frequent.

Due to lack of prospective studies with long-term follow-up there are no recommendation for treatment of MRNOJ. The main aim of treatment of patients with MRNOJ is to continue and to support oncological treatment as well as to provide patient education, comfort to life, control of pain and to prevent from secondary infection and development of new areas of necrosis.