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Karen H. Calhoun, MD; Robert D. Shapiro, DDS; Charles M. Stiernberg, MD; Jason H. Calhoun, MD, MEng; Jon T. Mader, MD

Arch Otolaryngol Head Neck Surg. 1988;114(10):1157-1162.

Abstract
• The presenting characteristics and clinical courses of 60 patients with mandibular bone infections are described. Fifteen of the patients had posttraumatic osteomyelitis, 13 had odontogenic osteomyelitis, four had postoperative osteomyelitis, and 28 had osteoradionecrosis. Most infections (93%) were polymicrobial, and anaerobes played an important role. Types of surgical procedures and use of adjunctive hyperbaric oxygen are described. There were minimal differences in presentation or response to treatment between these four different groups. A clinical staging system for mandibular bone infections is proposed and results of treatment are retrospectively analyzed by stage. The results support the concept that initial treatment planning can be safely and successfully based on the stage of the disease.

(Arch Otolaryngol Head Neck Surg 1988;114:1157-1162)

Author Affiliations
From the Department of Otolaryngology (Drs K. H. Calhoun and Stiernberg), Divisions of Oral-Maxillofacial Surgery (Dr Shapiro), Orthopedic Surgery (Dr J. H. Calhoun), and Infectious Disease (Dr Mader), University of Texas Medical Branch, Galveston.

Footnotes
Accepted for publication May 24, 1988.

Presented at the Southern Section Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Birmingham, Ala, Jan 14, 1988.

Reprint requests to Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX 77550 (Dr K. H. Calhoun).

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