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Chronic Mandibular Osteomyelitis with Normal Value of C-reactive Protein

 Woo Young Park  ;  Jong Bum Choi  ;  Duck Mi Yoon  ;  Do Hyeong Kim 
 International Journal of Pain, Vol.2(1) : 60-63, 2011 
Journal Title
International Journal of Pain
Issue Date
C-reactive protein ; herpes zoster ; mandibular osteomyelitis.
A 58-year-old male was referred to our pain clinic with right lower facial pain of visual analogue scale 8/10 cm. One week ago, his right lower 3rd molar was extracted for vesicles at the buccal mucosal membrane and right lower facial hypoesthesia. Immunoserologic tests revealed negative varicella-zoster virus immunoglobulin-M, positive immunoglobulin-G and normal value of C-reactive protein. Buccal mucosa biopsy revealed squamous epithelial hyperplasia. Medications for pain control was pregabalin 150 mg PO bid, amitriptyline 10 mg PO hs, fentanyl patch 12.5 Ռg/h, carbamazepine 200 mg PO hs. C-arm guided block and pulsed radiofrequency lesionning was performed at mandibular branch of the right trigeminal nerve. And then VAS score was reduced to 4/10 cm. On facial bone CT, facial MRI and 3-phase bone scan, chronic osteomyelitis was suspected on the right mandible. Herpes zoster by atypical clinical manifestations was excluded. After additional biopsy and culture on lesion, antibiotics were used to treat the osteomyelitis and surgical follow-up was planned for surgical removal of necrotic tissue.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Hyeong(김도형) ORCID logo https://orcid.org/0000-0003-2018-8090
Yoon, Duck Mi(윤덕미)
Choi, Jong Bum(최종범)
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