The management of osteomyelitis at mandible due to neglected fracture: A case report from Hasan Sadikin Hospital, Bandung-Indonesia

Introduction: Osteomyelitis is an inflammation of bone and bone marrow. It occurs more frequently in mandible compare to the maxilla and usually associated with suppuration and pain. This condition caused by many factors such as odontogenic infection, trauma, inadequate treatment of fracture or radiation. The purpose of this case report is to describe the management of osteomyelitis in a young adult patient due to neglected jaw fracture. Case: A 27 years old male came to Departement of Oral and Maxillofacial Surgery - Hasan Sadikin Hospital with an extra-oral draining sinus at his right mandible region after a motorcycle accident about six months ago. OPG revealed a radiolucent mix radiopaque image surrounded by a radiopaque cortical border, large sequestra and loss of trabeculae internal structure. Conclusion: This case shows that sequestrectomy is a definitive method of treating osteomyelitis with satisfying clinical and radiologic result.