CASE REPORT

The management of osteomyelitis at mandible due to neglected fracture: A case report from Hasan Sadikin, Bandung-Indonesia

Nyoman Ayu Anggayanti , Endang Sjamsudin, Melita Sylvyana, Kiki Akhmad Rizki

Nyoman Ayu Anggayanti
Resident of Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia. Email: anggayanti@gmail.com

Endang Sjamsudin
Staff of Oral and Maxillofacial Surgery Department Faculty of Dentistry, Universitas Padjadjaran, RSUP Dr. Hasan Sadikin, Bandung, Indonesia

Melita Sylvyana
Staff of Oral and Maxillofacial Surgery Department Faculty of Dentistry, Universitas Padjadjaran, RSUP Dr. Hasan Sadikin, Bandung, Indonesia

Kiki Akhmad Rizki
Staff of Oncology Surgery Faculty of Medicine,Universitas Padjadjaran, RSUP Dr. Hasan Sadikin, Bandung, Indonesia
Online First: October 03, 2018 | Cite this Article
Anggayanti, N., Sjamsudin, E., Sylvyana, M., Rizki, K. 2018. The management of osteomyelitis at mandible due to neglected fracture: A case report from Hasan Sadikin, Bandung-Indonesia. Bali Medical Journal 7(3). DOI:10.15562/bmj.v7i3.1184


Introduction: Osteomyelitis is an inflammation of bone and bone marrow. It occurs more frequently in mandible compare to the maxilla and usually associated with suppuration and pain. This condition caused by many factors such as odontogenic infection, trauma, inadequate treatment of fracture or radiation. The purpose of this case report is to describe the management of osteomyelitis in a young adult patient due to neglected jaw fracture.

Case: A 27 years old male came to Departement of Oral and Maxillofacial Surgery – Hasan Sadikin Hospital with an extra-oral draining sinus at his right mandible region after a motorcycle accident about six months ago. OPG revealed a radiolucent mix radiopaque image surrounded by a radiopaque cortical border, large sequestra and loss of trabeculae internal structure.

Conclusion: This case shows that sequestrectomy is a definitive method of treating osteomyelitis with satisfying clinical and radiologic result. 

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