Polymicrobial bacterial infection, usually odontogenic, of mandible > maxilla
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Gaêta-Araujo H et al: Osteomyelitis, osteoradionecrosis, or medication-related osteonecrosis of the jaws? Can CBCT enhance radiographic diagnosis? Oral Dis. 27(2):312-9, 2021
Modabber A et al: Evaluation of SPECT/CT in the assessment of inflammatory jaw pathologies. Eur J Radiol. 125:108917, 2020
Shin JW et al: Computed tomography imaging features of osteomyelitis of the jaw: comparison between antiresorptive medication-related conditions and medication-unrelated conditions. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(6):629-34, 2020
Matharu J et al: Diffuse sclerosing osteomyelitis: a case series and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(5):437-46, 2019
van de Meent MM et al: Non-surgical treatment of adults with chronic diffuse sclerosing osteomyelitis/tendoperiostitis of the mandible. J Craniomaxillofac Surg. 47(12):1922-8, 2019
Haeffs TH et al: Acute and chronic suppurative osteomyelitis of the jaws: a 10-year review and assessment of treatment outcome. J Oral Maxillofac Surg. 76(12):2551-8, 2018
Mardini S et al: Imaging of odontogenic infections. Radiol Clin North Am. 56(1):31-44, 2018
Dym H et al: Microbiology of acute and chronic osteomyelitis and antibiotic treatment. Dent Clin North Am. 61(2):271-82, 2017
Julien Saint Amand M et al: Chronic osteomyelitis of the mandible: A comparative study of 10 cases with primary chronic osteomyelitis and 12 cases with secondary chronic osteomyelitis. J Stomatol Oral Maxillofac Surg. 118(6):342-348, 2017
Padwa BL et al: Pediatric Chronic Nonbacterial Osteomyelitis of the Jaw: Clinical, Radiographic, and Histopathologic Features. J Oral Maxillofac Surg. ePub, 2016
Thayil N et al: Magnetic Resonance Imaging of Acute Head and Neck Infections. Magn Reson Imaging Clin N Am. 24(2):345-67, 2016
De Ceulaer J et al: Actinomyces osteomyelitis in bisphosphonate-related osteonecrosis of the jaw (BRONJ): the missing link? Eur J Clin Microbiol Infect Dis. 33(11):1873-80, 2014
Sasaki Y et al: Actinomycosis in the mandible: CT and MR findings. AJNR Am J Neuroradiol. 35(2):390-4, 2014
Valour F et al: Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist. 7:183-97, 2014
Fukumitsu N et al: What can be identified by three-phase bone scintigraphy in patients with chronic osteomyelitis of the mandible? Ann Nucl Med. 24(4):287-93, 2010
Tanaka R et al: Computed tomography findings of chronic osteomyelitis involving the mandible: correlation to histopathological findings. Dentomaxillofac Radiol. 37(2):94-103, 2008
Ida M et al: CT findings as a significant predictive factor for the curability of mandibular osteomyelitis: multivariate analysis. Dentomaxillofac Radiol. 34(2):86-90, 2005
Oostman O et al: Cervicofacial Actinomycosis: Diagnosis and Management. Curr Infect Dis Rep. 7(3):170-174, 2005
Schuknecht B et al: Osteomyelitis of the mandible. Neuroimaging Clin N Am. 13(3):605-18, 2003
Lerner PI: The lumpy jaw. Cervicofacial actinomycosis. Infect Dis Clin North Am. 2(1):203-20, 1988
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Synonyms
Acute or chronic suppurative osteomyelitis
Definitions
Polymicrobial bacterial infection, usually odontogenic, of mandible > maxilla
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Gaêta-Araujo H et al: Osteomyelitis, osteoradionecrosis, or medication-related osteonecrosis of the jaws? Can CBCT enhance radiographic diagnosis? Oral Dis. 27(2):312-9, 2021
Modabber A et al: Evaluation of SPECT/CT in the assessment of inflammatory jaw pathologies. Eur J Radiol. 125:108917, 2020
Shin JW et al: Computed tomography imaging features of osteomyelitis of the jaw: comparison between antiresorptive medication-related conditions and medication-unrelated conditions. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(6):629-34, 2020
Matharu J et al: Diffuse sclerosing osteomyelitis: a case series and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(5):437-46, 2019
van de Meent MM et al: Non-surgical treatment of adults with chronic diffuse sclerosing osteomyelitis/tendoperiostitis of the mandible. J Craniomaxillofac Surg. 47(12):1922-8, 2019
Haeffs TH et al: Acute and chronic suppurative osteomyelitis of the jaws: a 10-year review and assessment of treatment outcome. J Oral Maxillofac Surg. 76(12):2551-8, 2018
Mardini S et al: Imaging of odontogenic infections. Radiol Clin North Am. 56(1):31-44, 2018
Dym H et al: Microbiology of acute and chronic osteomyelitis and antibiotic treatment. Dent Clin North Am. 61(2):271-82, 2017
Julien Saint Amand M et al: Chronic osteomyelitis of the mandible: A comparative study of 10 cases with primary chronic osteomyelitis and 12 cases with secondary chronic osteomyelitis. J Stomatol Oral Maxillofac Surg. 118(6):342-348, 2017
Padwa BL et al: Pediatric Chronic Nonbacterial Osteomyelitis of the Jaw: Clinical, Radiographic, and Histopathologic Features. J Oral Maxillofac Surg. ePub, 2016
Thayil N et al: Magnetic Resonance Imaging of Acute Head and Neck Infections. Magn Reson Imaging Clin N Am. 24(2):345-67, 2016
De Ceulaer J et al: Actinomyces osteomyelitis in bisphosphonate-related osteonecrosis of the jaw (BRONJ): the missing link? Eur J Clin Microbiol Infect Dis. 33(11):1873-80, 2014
Sasaki Y et al: Actinomycosis in the mandible: CT and MR findings. AJNR Am J Neuroradiol. 35(2):390-4, 2014
Valour F et al: Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist. 7:183-97, 2014
Fukumitsu N et al: What can be identified by three-phase bone scintigraphy in patients with chronic osteomyelitis of the mandible? Ann Nucl Med. 24(4):287-93, 2010
Tanaka R et al: Computed tomography findings of chronic osteomyelitis involving the mandible: correlation to histopathological findings. Dentomaxillofac Radiol. 37(2):94-103, 2008
Ida M et al: CT findings as a significant predictive factor for the curability of mandibular osteomyelitis: multivariate analysis. Dentomaxillofac Radiol. 34(2):86-90, 2005
Oostman O et al: Cervicofacial Actinomycosis: Diagnosis and Management. Curr Infect Dis Rep. 7(3):170-174, 2005
Schuknecht B et al: Osteomyelitis of the mandible. Neuroimaging Clin N Am. 13(3):605-18, 2003
Lerner PI: The lumpy jaw. Cervicofacial actinomycosis. Infect Dis Clin North Am. 2(1):203-20, 1988
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