Osteomyelitis Therapy – General Considerations and Surgical Therapy

摘要: The final common pathway in all treatment of acute and secondary chronic osteomyelitis the jaws is to achieve a shift disturbed balance between responsible pathogen(s) host defenses latter, allowing body overcome infection. Reduction pathogens achieved by surgical removal infected necrotic tissue as well antibiotic therapy. Improvement local vascularization further accomplished decortication, exceeding conventional debridement, which not only removes poorly vascularized (infected) bone but also brings well-vascularized affected bone, thus facilitating healing process antibiotics reach target area; therefore, surgery are be considered major columns treating jaws. Hyperbaric oxygen (HBO), can recognized an adjunctive therapeutic modality osteomyelitis, supports host-defensive mechanisms promotes has direct toxic effects on microorganisms causing Although never dominating therapy, HBO third column armentarium for treatment. A sufficient debridement most important factor successful advanced extent dictated mainly bone. procedure addition bring well-perfused contact with site decortication procedure, workhorse main goal primary jawbone cessation or amelioration symptoms. In addition, deformity may must surgically addressed. Dealing symptoms, aside from surgery, several conservative options available. Even though disease been cured, change course severity should sign success.