ArticleAnnals of maxillofacial surgery
A Case of Actinomycotic Osteomyelitis in Maxilla Presenting as Oroantral Fistula - A Rare Case Report.
Article in Annals of maxillofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Rationale: Actinomycotic osteomyelitis of the maxilla is a rare, chronic infection caused by Patient Concerns: A patient presented with a 6-month history of dull, persistent maxillary pain following the extraction of right upper first premolar. Diagnosis: Clinical examination revealed an oroantral fistula with an exposed, mobile sequestrum. Sequestrectomy with histopathological evaluation confirmed actinomycotic osteomyelitis. Treatment: Sequestrectomy with thorough debridement and intranasal antrostomy was performed for adequate sinus drainage. Prolonged high-dose intravenous antibiotics were administered, followed by oral therapy targeting Outcomes: At 1-year follow-up, the patient was asymptomatic with no evidence of recurrence. Take-away Lessons: It is rare and often difficult to diagnose due to non-specific symptoms and negative cultures. Early suspicion, histopathological confirmation and individualised regimens considering patient compliance and access to care, plus long-term follow-up, ensure favourable outcomes.
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