Resumo
Objetivo: Descrever o caso de uma criança com Osteomielite Crônica em Mandíbula, uma doença rara, que cursa com períodos de agudizações e tem necessidade de um longo tratamento, além de ser um desafio diagnóstico para pediatras e odontopediatras. O quadro pode cursar com assimetria facial, dor, transtornos físicos e psicológicos ao paciente, principalmente na infância. Detalhamento de caso: A criança necessitou de uso prolongado de antibióticos, além de intervenções cirúrgicas, até o diagnóstico final de Osteomielite Esclerosante Difusa, associado a uma Tendoperiostite Crônica. A partir de um atendimento multiprofissional, ainda em andamento, mantém estabilidade clínica com tratamento conservador, baseado em analgésicos e anti-inflamatórios. Considerações finais: O diagnóstico e o tratamento da Osteomielite Crônica de Mandíbula são desafiadores aos profissionais de saúde. O trabalho relata uma experiência bem-sucedida em que a paciente teve melhora clínica importante e segue em acompanhamento para controle da doença.
Referências
AKGÜL H, et al. Garre's Osteomyelitis of the Mandible Caused by Infected Tooth. Case Rep Dent, 2018; 1409539.
ANDRE CV, et al. Osteomyelitis of the jaws: A retrospective series of 40 patients. J Stomatol Oral Maxillofac Surg, 2017; 261-264.
BELLI E, et al. Sclerosing Osteomyelitis of Garré Periostitis Ossificans. Journal of Craniofacial Surgery, 2002; 13 (6): 765-8.
CAMISON L, et al. Chronic Recurrent Multifocal Osteomyelitis of the Mandible: A Diagnostic Challenge. Plast Reconstr Surg, 2018; 186-192.
FERNANDES VC. Osteomielite crônica com periostite proliferativa. Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, 2012.
FUKUDA M, et al. Periostitis ossificans arising in the mandibular bone of young patient: Report of an unusual case and review of the literature. J Oral Maxillofac Surg, 2017; 1834.e1-1834: e8.
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, 2018; 2551-2558.
HOFMAN SR, et al. ChronicRecurrent Multifocal Osteomyelitis (CRMO): Presentation, Pathogenesis, and Treatment. Curr Osteoporos Rep, 2017; 542-554.
HUH WW, et al. Osteosarcoma of the jaw in children and young adults. Head Neck, 2012; 34(7): 981-984.
JAIN M, et al. Garre's Sclerosing Chronic Osteomyelitis of Femur in an Adolescent. J Orthop Case Rep, 2021; (12): 15-18.
KOGSTAD MD, et al. Hematogeneous osteomyelitis in children: management. Up to Date, 2023; 8(2): 175-81.
KORYLLOU A, et al. Chronic Nonbacterial Osteomyelitis in Children. Children (Basel), 2021; (7): 55.
KUANKUAN DDS, et al. Is Operative Management Effective for Non-Bacterial Diffuse Sclerosing Osteomyelitis of the Mandible. J Oral Maxillofac Surg, 2021; (11): 2292-2298.
KUDVA A, et al. Chronic recurrent osteomyelitis: A surgeon's enigma. J Oral Pathol Med, 2019; (2): 180-184
LIUD, et al. Chronic osteomyelitis with proliferative periostitis of the mandibular body: report of a case and review of the literature. Ann R Coll Surg Engl, 2019; (5): 328-332.
MA L, et al. Clinical characteristics and outcomes of chronic nonbacterial osteomyelitis in children: a multicenter case series. Pediatr Rheumatol Online J, 2022; 20(1).
MOARES FB, et al. Osteomielite esclerosante de Garrè: relato de caso. Revista Brasileira de Ortopedia, 2014; 401-404.
NEVILLE BW, et al. Patologia Oral e Maxilofacial. 4ª edição. Rio de Janeiro: Elsevier; 2016.
OBEL G, et al. Juvenile mandibular chronico steomyelitis: 3 cases and a literature review. J Oral Maxillofac Surg, 2013; (2): 305-309.
PACINO GA, et al. Jawbone fibrous dysplasia: retrospective evaluation in a cases series surgically treated and short review of the literature. Acta Biomed, 2020; e2021018.2020 Acta Biomed. 2020; 92(1): e2021018.
RODRIGUES MF, et al. Osteomielite crônica mandibular em pacientes pediátricos. Arch Health Invest, 2020; (1): 55-59.
SCHWARZKOPF E, et al. Chronic recurrent multifocal osteomyelitis-case report of two patient sand review of literature. Int J Clin Rheumtol, 2019; (1): 24-30.
SHANMUGA JS, et al. Garré's Sclerosing Osteomyelitis with Perimandibular Soft Tissue Inflammation and Fistula, Indian J Radiol Imaging, 2022; (4): 1016-1018.
SHAW SE, et al. Non-Odontogenic Tumors of the Jaws. StatPearls Treasure Island (FL), 2023.
TAIHI I, RADOI L. Chronic non-suppurative mandibular osteomyelitis with proliferative periostitis: A review. Quintessence Int, 2018; (3): 219-226.
VAN DE MEENT MM, et al. Conservative treatment of children with chronic diffuse sclerosing osteomyelitis/tendoperiostitis of the mandible. J Craniomaxillofac Surg, 2017; (12): 1938-1943.
VAN DE MEENT MM, et al. Outcome of different treatments for chronic diffuse sclerosing osteomyelitis of the mandible: a systematic review of published papers. Br J Oral Maxillofac Surg, 2020; (4):385-395.
WALTER N, et al. The Epidemiology of Osteomyelitis in Children. Children (Basel), 2021; (11):1000.
ZHAO DY, FERGUSON PJ. Chronic nonbacterial osteomyelitis (CNO) and chronic recurrent multifocal osteomyelitis (CRMO). Pediatr Clin North Am, 2018; (4): 783-800.
ZIMMERMANN C, et al. Diagnostic Challenge and Clinical Management of Juvenile Mandibular Chronic Osteomyelitis. Head NeckPathol, 2020; (3): 842-846.
