Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw
Abstract Background Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-021-04340-3 |
| _version_ | 1818939946429317120 |
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| author | Buyanbileg Sodnom-Ish Mi Young Eo Mi Hyun Seo Jong Ho Lee Soung Min Kim |
| author_facet | Buyanbileg Sodnom-Ish Mi Young Eo Mi Hyun Seo Jong Ho Lee Soung Min Kim |
| author_sort | Buyanbileg Sodnom-Ish |
| collection | DOAJ |
| description | Abstract Background Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM persists and is of important concern in modern medicine. Active negative pressure is known to prevent post-operative hematoma; decrease the number of bacterial pathogens, accumulation of toxins, and necrotic tissue; and promote osteogenesis and angiogenesis with the use of a draining tube such as the Jackson-Pratt (JP) or Hemovac. The purpose of this study was to assess the effectiveness of decompression for the treatment of OM in the jaw. Methods This retrospective study included a total of 130 patients, 55 patients with sclerosing OM and 75 patients with suppurative OM were included. The radiographic bone densities expressed as a grayscale values (GSVs), were measured using an easy digitalized panoramic analysis (EDPA) method, processed on the conditional inference tree, generated by the R program® 3.2.3 with a probability of 96.8%. Rectangle annotation analysis of INFINITT PACS® (INFINITT Healthcare, Seoul, Korea) of 50 mm2 was determined as the region of interest (ROI). Student’s t-test and ANOVA were used to determine significance (p < 0.05). Results Significant changes was observed between radiographic bone density in the sclerosing type with drain and without drain at the six-month and one-year follow-up (p < 0.05). Significant difference was demonstrated between the suppurative OM with drain and without drain groups at the one-year follow-up (p < 0.05). Conclusion The OM groups with drain exhibited more enhanced bone density compared to the groups without drain at the six-month and one-year follow-ups. The drain insertion for decompression is effective for the management of sclerosing and suppurative OM. It is recommended to implement it for the management of OM. |
| first_indexed | 2024-12-20T06:31:49Z |
| format | Article |
| id | doaj.art-894682bf6f354877be41a6ed1ee1b9c6 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-20T06:31:49Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-894682bf6f354877be41a6ed1ee1b9c62022-12-21T19:50:07ZengBMCBMC Musculoskeletal Disorders1471-24742021-05-0122111210.1186/s12891-021-04340-3Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jawBuyanbileg Sodnom-Ish0Mi Young Eo1Mi Hyun Seo2Jong Ho Lee3Soung Min Kim4Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityAbstract Background Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM persists and is of important concern in modern medicine. Active negative pressure is known to prevent post-operative hematoma; decrease the number of bacterial pathogens, accumulation of toxins, and necrotic tissue; and promote osteogenesis and angiogenesis with the use of a draining tube such as the Jackson-Pratt (JP) or Hemovac. The purpose of this study was to assess the effectiveness of decompression for the treatment of OM in the jaw. Methods This retrospective study included a total of 130 patients, 55 patients with sclerosing OM and 75 patients with suppurative OM were included. The radiographic bone densities expressed as a grayscale values (GSVs), were measured using an easy digitalized panoramic analysis (EDPA) method, processed on the conditional inference tree, generated by the R program® 3.2.3 with a probability of 96.8%. Rectangle annotation analysis of INFINITT PACS® (INFINITT Healthcare, Seoul, Korea) of 50 mm2 was determined as the region of interest (ROI). Student’s t-test and ANOVA were used to determine significance (p < 0.05). Results Significant changes was observed between radiographic bone density in the sclerosing type with drain and without drain at the six-month and one-year follow-up (p < 0.05). Significant difference was demonstrated between the suppurative OM with drain and without drain groups at the one-year follow-up (p < 0.05). Conclusion The OM groups with drain exhibited more enhanced bone density compared to the groups without drain at the six-month and one-year follow-ups. The drain insertion for decompression is effective for the management of sclerosing and suppurative OM. It is recommended to implement it for the management of OM.https://doi.org/10.1186/s12891-021-04340-3DecompressionSuppurative osteomyelitisSclerosing osteomyelitisEasy digitalized panoramic analysis (EDPA)Region of interest (ROI) |
| spellingShingle | Buyanbileg Sodnom-Ish Mi Young Eo Mi Hyun Seo Jong Ho Lee Soung Min Kim Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw BMC Musculoskeletal Disorders Decompression Suppurative osteomyelitis Sclerosing osteomyelitis Easy digitalized panoramic analysis (EDPA) Region of interest (ROI) |
| title | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| title_full | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| title_fullStr | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| title_full_unstemmed | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| title_short | Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| title_sort | decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw |
| topic | Decompression Suppurative osteomyelitis Sclerosing osteomyelitis Easy digitalized panoramic analysis (EDPA) Region of interest (ROI) |
| url | https://doi.org/10.1186/s12891-021-04340-3 |
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