Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report

Primary chronic osteomyelitis (PCO) of the jaw is a rare condition of unknown etiology with severe pain and/or facial swelling. In this article, a 63-year-old man whose severe pain caused by PCO of the mandible was treated with intravenous administration of lidocaine and magnesium is described. At t...

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Main Authors: Akihiko Nakamura, Daichi Hasebe, Yusuke Kato, Hideyoshi Nishiyama, Takafumi Hayashi, Tadaharu Kobayashi
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Oral and Maxillofacial Surgery Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541922000104
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author Akihiko Nakamura
Daichi Hasebe
Yusuke Kato
Hideyoshi Nishiyama
Takafumi Hayashi
Tadaharu Kobayashi
author_facet Akihiko Nakamura
Daichi Hasebe
Yusuke Kato
Hideyoshi Nishiyama
Takafumi Hayashi
Tadaharu Kobayashi
author_sort Akihiko Nakamura
collection DOAJ
description Primary chronic osteomyelitis (PCO) of the jaw is a rare condition of unknown etiology with severe pain and/or facial swelling. In this article, a 63-year-old man whose severe pain caused by PCO of the mandible was treated with intravenous administration of lidocaine and magnesium is described. At the first visit, paresthesia on the right lower lip and chin was noted in an extraoral examination, and the results of an intraoral examination and laboratory examination were normal. Radiographic findings showed a ground glass-like opaque image and a bone resorption image on the right mandible. The patient was clinically diagnosed as having PCO. Pain control was difficult with conventional treatment, but successful pain control was achieved with intravenous administration of lidocaine and magnesium. The results suggested that intravenous administration of lidocaine and magnesium could be a new therapy for refractory PCO of the jaw.
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spelling doaj.art-ed35347b68f74fa2b16f0fe16e8832012022-12-22T03:36:05ZengElsevierOral and Maxillofacial Surgery Cases2214-54192022-06-0182100251Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case reportAkihiko Nakamura0Daichi Hasebe1Yusuke Kato2Hideyoshi Nishiyama3Takafumi Hayashi4Tadaharu Kobayashi5Division of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan; Corresponding author.Division of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan; Department of Oral and Maxillofacial Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, JapanDivision of Oral and Maxillofacial Radiology, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, JapanDivision of Oral and Maxillofacial Radiology, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, JapanPrimary chronic osteomyelitis (PCO) of the jaw is a rare condition of unknown etiology with severe pain and/or facial swelling. In this article, a 63-year-old man whose severe pain caused by PCO of the mandible was treated with intravenous administration of lidocaine and magnesium is described. At the first visit, paresthesia on the right lower lip and chin was noted in an extraoral examination, and the results of an intraoral examination and laboratory examination were normal. Radiographic findings showed a ground glass-like opaque image and a bone resorption image on the right mandible. The patient was clinically diagnosed as having PCO. Pain control was difficult with conventional treatment, but successful pain control was achieved with intravenous administration of lidocaine and magnesium. The results suggested that intravenous administration of lidocaine and magnesium could be a new therapy for refractory PCO of the jaw.http://www.sciencedirect.com/science/article/pii/S2214541922000104Primary chronic osteomyelitisPainIntravenous administrationLidocaineMagnesium
spellingShingle Akihiko Nakamura
Daichi Hasebe
Yusuke Kato
Hideyoshi Nishiyama
Takafumi Hayashi
Tadaharu Kobayashi
Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
Oral and Maxillofacial Surgery Cases
Primary chronic osteomyelitis
Pain
Intravenous administration
Lidocaine
Magnesium
title Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
title_full Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
title_fullStr Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
title_full_unstemmed Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
title_short Intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible: A case report
title_sort intravenous administration of lidocaine and magnesium for severe pain caused by primary chronic osteomyelitis of the mandible a case report
topic Primary chronic osteomyelitis
Pain
Intravenous administration
Lidocaine
Magnesium
url http://www.sciencedirect.com/science/article/pii/S2214541922000104
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