Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
종설

유아의 급성 상악골 골수염 2례

김진용1, 김준기1, 김광태1, 박상영1, 이시영1
Jin-Yong Kim1, Joon-Ki Kim1, Kwang-Tae Kim1, Sang-Young Park1, Si-Young Lee1
1전주 예수병원 이비인후과
1Department of Otolaryngology,Presbyterian Medical Center. Chonju, Korea.

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed 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 original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Acute maxillary osteomyelitis in infants which was first described by Rees(1847), is a rare condition in which the patient develops a massive osseus infection of the midface during the first 3 weeks after birth. A causative agent ( esp. Staphylococci, Streptococci, Pneumococci ) may become pathogenic and widespread after break of the mucosal barrier due to trauma or infection. The clinical picture is that of an acutely ill appearance with a unilateral swelling of the face and eye, a swollen gum and a purulent nasal discharge all on the same side.

We experienced 2 cases of acute maxillary osteomyelitis on Feb. and Apr. 1995. They were admitted to the department of Pediatrics due to fever, feeding difficulty, cheek swelling with redness, unilateral nasal discharge under the impression of dacryocystitis and maxillary sinusitis. They took antibiotics therapy but symptom did not improved. So they were transfered to our department. Physical examination revealed purulent unilateral nasal discharge and granulation tissue. In another case, fistula at medial canthus area and alveolar arch were noted.

After they underwent sequestrectomy and endoscopic sinus surgery with 0°, 2.7mm endoscopy, under general anesthesia, with adequate antibiotics therapy, their physical status were improved.

Keywords: Acute maxillary osteomyelitis; Sequestrectomy; Endoscopic sinus surgery