Next Article in Journal
Associations Between Chronic Pain and Depressive Symptoms in Patients With Trigeminal Neuralgia
Previous Article in Journal
Rationality of Administered Gentamicin Dose in Cerebral Coma Patients Treated in an Intensive Care Unit
 
 
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

An Analysis of Etiological Factors for Traumatic Mandibular Osteomyelitis

by
Algirdas Lukošiūnas
,
Ričardas Kubilius
,
Gintautas Sabalys
,
Tadas Keizeris
* and
Dalius Sakavičius
Department of Maxillofacial Surgery, Medical Academy, Lithuanian University of Health Sciences, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2011, 47(7), 380; https://doi.org/10.3390/medicina47070054
Submission received: 18 August 2010 / Revised: 18 July 2011 / Accepted: 23 July 2011 / Published: 28 July 2011

Abstract

Objective. The aim of this study was to analyze the factors that were associated with the development of osteomyelitis during the treatment of mandibular fractures.
Material and Methods
. The data of 3188 patients with mandibular fractures treated during 2002–2009 were analyzed. Traumatic osteomyelitis of the mandible was diagnosed in 207 patients. The background factors of complications were studied and compared with the control group (100 patients) not having complications after treatment of mandibular fractures. The data of clinical, roentgenologic, microbiological, and immunological investigations were analyzed. A logistic regression model was developed to identify the factors for osteomyelitis development.
Results. The treatment in 6.5% of patients was complicated with osteomyelitis; 88.5% of these patients were men, and more than 80% of patients were younger than 50 years. In 86.8% of cases, Staphylococcus species were isolated, with Staphylococcus aureus accounting for 69.1% of cases. The following factors were found to be associated with osteomyelitis development: immunity dysfunction, caries-affected teeth at the fracture line, mobile fractured bones, bone fixation after more than 7 days following trauma, healthy teeth at the fracture line, insufficient bone reposition, and bone fixation after 3–7 days following trauma.
Conclusion. Comparative analysis of factors influencing the treatment results revealed a great importance of immunological and dental status and microflora at the affected site. Insufficient or late reposition and fixation of fractured bone fragments play a significant role in the healing process.
Keywords: mandibular fracture; traumatic osteomyelitis; etiology of osteomyelitis mandibular fracture; traumatic osteomyelitis; etiology of osteomyelitis

Share and Cite

MDPI and ACS Style

Lukošiūnas, A.; Kubilius, R.; Sabalys, G.; Keizeris, T.; Sakavičius, D. An Analysis of Etiological Factors for Traumatic Mandibular Osteomyelitis. Medicina 2011, 47, 380. https://doi.org/10.3390/medicina47070054

AMA Style

Lukošiūnas A, Kubilius R, Sabalys G, Keizeris T, Sakavičius D. An Analysis of Etiological Factors for Traumatic Mandibular Osteomyelitis. Medicina. 2011; 47(7):380. https://doi.org/10.3390/medicina47070054

Chicago/Turabian Style

Lukošiūnas, Algirdas, Ričardas Kubilius, Gintautas Sabalys, Tadas Keizeris, and Dalius Sakavičius. 2011. "An Analysis of Etiological Factors for Traumatic Mandibular Osteomyelitis" Medicina 47, no. 7: 380. https://doi.org/10.3390/medicina47070054

Article Metrics

Back to TopTop