Cellulitis with Underlying Periostitis of the Mandible

The American journal of roentgenology, radium therapy, and nuclear medicine 06/1969; 106(1):133-5. DOI: 10.2214/ajr.106.1.133
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    ABSTRACT: mobility continues to increase, knowledge of tropical radiology can no longer be left to the radiologists in the tropics. Tropical ulcers (Fig. I ; and 2, A and B) may be rel- atively easy to recognize if the patient is examined clinically, but unfortunately, in many busy radiology practices today, only the films are seen by the radiologist, not the patients themselves. Bone changes as- sociated with tropical ulcers, sometimes called "ulcer osteoma," are also easily rec- ognized if the radiologist is aware of the tropical condition, i.e., the overlying ulcer, otherwise they may be mistaken for a va- riety ofother lesions. Although there is extensive literature on the clinical aspects, etiology, and treatment of tropical ulcers,4'12'4"8 very little has been written on the roentgenologic aspects of this disease since the excellent summary by Brown and Middlemiss in I956.� Stan- dard textbooks of bone radiology and the American literature seem to lack reference to this condition. It is the purpose of this paper to review the clinical and roentgenologic features of tropicalulcers and the reactive bone changes associated with them. MATERIAL AND METHOD
    Preview · Article · Aug 1970 · The American journal of roentgenology, radium therapy, and nuclear medicine
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    ABSTRACT: Periostitis of the mandible has not been previously discussed in the otolaryngologic literature and only infrequently in the dental literature. It is characterized by a hard, painless, fixed mass overlying the mandible in a child or young adult. The etiology is usually an endosteal infection in the molar region with periosteal inflammation. Reactive new bone is deposited beneath the elevated periosteum, external to the outer cortex of the jaw, and separated from it by a layer of suppurative fluid. Treatment consists of removal of involved teeth and infected bone, drainage of the fluid pocket and appropriate antibiotics. Patients are followed with repeat X-rays and erythrocyte sedimentation rates. A case is presented and the world literature is reviewed. The otolaryngologist should be aware of this entity and include it in the differential diagnosis of any fixed jaw mass to avoid mistaking it for a more malignant process with unfortunate consequences.
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    ABSTRACT: This paper summarizes the clinical and roentgenographic findings in 15 children with acute suppurative infection of the epitrochlear lymph nodes.
    No preview · Article · Nov 1977 · Pediatric Radiology
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