China Journal of Oral and Maxillofacial Surgery ›› 2020, Vol. 18 ›› Issue (2): 140-143.doi: 10.19438/j.cjoms.2020.02.010

• Original Articles • Previous Articles     Next Articles

Endoscopic-assisted treatment of odontogenic marginal jaw osteomyelitis

SUN Jia-ping, LUO Qi, XIAO Wen-zhi, YANG Rong   

  1. Department of Oral and Maxillofacial Surgery, Second People's Hospital of Yunnan Province. Kunming 650021, Yunnan Province, China
  • Received:2019-06-12 Revised:2019-08-28 Online:2020-03-20 Published:2020-04-30

Abstract: PURPOSE: To explore the effect of endoscopy-assisted surgery on odontogenic marginal jaw osteomyelitis. METHODS: Sixty patients with odontogenic marginal jaw osteomyelitis admitted to Second People's Hospital of Yunnan Province from January 2018 to December 2018 were selected. The patients were randomly divided into the control group and experimental group with 30 cases in each group. Patients in the control group were treated with routine surgery,while patients in the experimental group were treated with endoscopy-assisted surgery. The average operation time, postoperative recovery time, preoperative and postoperative pain, opening function and masticatory function of the two groups were evaluated. The therapeutic effect and complications were observed for 3 months and compared between the two groups. The data were analyzed with SPSS 20.0 software package. RESULTS: The average operation time and recovery time of the experimental group was shorter than the control group (P<0.05). There was no significant difference in the scores of pain, mouth opening and masticatory function between the two groups before operation (P>0.05); the scores of pain in both groups after operation were lower than those before operation, while the scores of mouth opening and masticatory function were higher than those before operation (P<0.05); the scores of pain in the experimental group after operation were higher than those in the control group (P<0.05). The total effective rate in the experimental group was significantly higher than that in the control group (P<0.05), and the recurrent rate in the experimental group was significantly lower than that in the control group (P<0.05). The incidence of total complications in the experimental group was significantly lower than that in the control group (P<0.05). CONCLUSIONS: Endoscopic-assisted surgery for odontogenic marginal jaw osteomyelitis can effectively shorten the period between operations, promote the recovery of patients after operation, significantly improve mouth opening, reduce the incidence of complications after operation, and have a better therapeutic effect.

Key words: Odontogenic marginal jaw osteomyelitis, Endoscopy-assisted, Complications

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