CT findings as a significant predictive factor for the curability of mandibular osteomyelitis: multivariate analysis
- 1 March 2005
- journal article
- Published by Oxford University Press (OUP) in Dento maxillo facial radiology
- Vol. 34 (2), 86-90
- https://doi.org/10.1259/dmfr/23641620
Abstract
Objectives: To re-evaluate computed tomographic (CT) imaging as a diagnostic tool for mandibular osteomyelitis and to assess the clinical significance of CT findings. Methods: CT images of 78 patients with mandibular osteomyelitis were reviewed. All patients were classified as cured or non-cured. Each CT finding was investigated for frequency, correlation with duration and disease cure. Results: Of the 78 patients, 49 (63%) were classified as “cured” and 29 (37%) as “non-cured”. Non-cured had experienced a significantly longer duration of symptoms. The most frequent CT finding was sclerosis and defect in the trabecular bone. Changes of bone width and thickening of the cortical plate were accompanied with longer disease duration. The extent of the diseased area was linearly correlated with the duration of symptoms. The significant factors to discriminate non-cured from cured were the extent of the disease, the number of findings, changes in the bone width, osteosclerosis and thickening of the cortex. Multivariate logistic regression analysis indicated that the extent of the disease and presence of changes in bone width were significant variables correlating with the cure of osteomyelitis. Conclusions: The extent of disease and the presence of change in bone width shown on CT were significantly correlated with the curability of osteomyelitis. These results indicated the usefulness and importance of CT examination for the diagnosis of mandibular osteomyelitis.Keywords
This publication has 7 references indexed in Scilit:
- Imaging of Osteomyelitis in the Mature SkeletonRadiologic Clinics of North America, 2001
- OsteomyelitisNew England Journal of Medicine, 1997
- Radiographic patterns of osteomyelitis in the mandible Plain film/CT correlationOral Surgery, Oral Medicine, Oral Pathology, 1994
- Osteomyelitis of the jaws: A 50-year perspectiveJournal of Oral and Maxillofacial Surgery, 1993
- Diagnostic value of bone scintigraphy in osteomyelitis of the mandibleOral Surgery, Oral Medicine, Oral Pathology, 1993
- Osteomyelitis of the MandibleJAMA Otolaryngology–Head & Neck Surgery, 1988
- Chronic sclerosing osteomyelitis of the mandible: Scintigraphic and radiographic findingsOral Surgery, Oral Medicine, Oral Pathology, 1978