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成骨细胞性骨炎(OBS)是以骨膜增生和新骨形成为特征的骨感染性疾病。上颌窦0BS多继发于慢性复发性上颌窦炎,它可并发面深间隙感染而出现严重症状。报告4例并作讨论。本病文献少见,有认为由于低毒细菌或抗生素使用不当刺激成骨细胞增殖而发生。多见金黄色葡萄球菌、链球菌、放线菌或混合感染。主要病理表现为骨膜增生、骨膜下板层新骨形成、骨髓腔纤维化和邻近软组织炎症,时有区域性淋巴结肿大。临床类似慢性上颌窦炎表现,当有继发感染或感染经静脉直接侵袭翼上颌窝或颞下窝组织时,则发生严重的症状,如表现出面痛、鼻出血、颞下窝区肿胀、牙关紧闭、下颌神经痛和舌咽神经痛等症状。诊断主要依
Osteoblastic osteitis (OBS) is a bone infectious disease characterized by periosteal hyperplasia and new bone formation. Most of the maxillary sinus 0BS secondary to chronic recurrent maxillary sinusitis, which can be complicated by deep space infection and severe symptoms. Report 4 cases and discuss. The literature rare, there is that due to the use of low-toxic bacteria or antibiotics to stimulate the proliferation of osteoblasts occur. Staphylococcus aureus, Streptococcus, actinomycetes or mixed infections. The main pathological manifestations of periosteal hyperplasia, subperiosteal new bone formation, bone marrow fibrosis and adjacent soft tissue inflammation, regional lymph node enlargement. Clinical similar to the performance of chronic maxillary sinusitis, when there is secondary infection or infection by vein direct invasion of the maxillary fossa or infratemporal fossa, then the occurrence of serious symptoms, such as the performance of facial pain, epistaxis, infratemporal fossa swelling, Tight closed, jaw neuralgia and glossopharyngeal neuralgia and other symptoms. The main diagnosis by