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Case report
Osteomyelitis of frontal sinus, zygomatic bone and maxilla
  1. Anshul Rai1,
  2. Anuj Jain2,3 and
  3. Rishi Thukral4
  1. 1Department Of Dentistry, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India
  2. 2Conultant Maxillofacial Surgeon, Nagpur, India
  3. 3Ex Senior Resident, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
  4. 4Dentistry, Atal Bihari Vajpayee Government Medical College Vidisha, Bhopal, Madhya Pradesh, India
  1. Correspondence to Dr Anshul Rai; anshulrai007{at}yahoo.co.in

Abstract

A 52-year male patient reported with loosening of right upper jaw. He has no pain or discharge, or any acute symptoms and systemic disease. Intraoral examination reveals necrosed maxillary bone. He also has no sickle cell disease, hepatitis, HIV or tuberculosis. 3D CT scan reveals destruction of maxilla, maxillary sinus, lateral nasal wall, superior and inferior orbital wall, zygoma and frontal bone(outer table). The clinical diagnosis of osteomyelitis was made. Under general anaesthesia, sequestrectomy was done with the help of Weber-Ferguson incision with infraorbital extension for maxilla, maxillary sinus, zygomatic bone, lateral nasal wall and infraorbital and medial wall of orbit. Frontal sinus region sequestrectomy was done via bicoronal flap. The patient was completely diseased free after 4 years follow-up.

  • dentistry and oral medicine
  • infections

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Footnotes

  • Twitter @Dr Anshul Rai

  • Contributors AR is a contributing author. All authors operated the case. Planning was done by all authors. AJ and RT designed the case report, all authors performed the analysis. All authors are the guarantors of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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