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Surgical management of severe mandibular actinomycosis: segmental mandibulectomy and fibula free flap for optimal outcomes
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Orientador(es)
Resumo(s)
Actinomycosis is a chronic, suppurative, granulomatous bacterial infection primarily associated with
Actinomyces israelii. The condition can be categorized into three distinct clinical types based on the affected
anatomical region: cervicofacial, pulmonary, or abdominopelvic actinomycosis. The standard treatment for
actinomycosis involves antibiotic therapy, with an empiric penicillin regimen as the first-line approach.
Surgical interventions comprise curettage of the affected bone, resection of necrotic tissues, excision of
existing sinus tracts, and drainage of abscesses. These procedures are considered a last resort for cases of
actinomycosis unresponsive to antibiotic therapy. In this context, we present a case of severely
unresponsive actinomycosis that necessitated aggressive surgical resection of the infected mandibular bone,
followed by immediate reconstruction using a fibula-free flap. The outcome yielded both favorable
functional and aesthetic results.
Descrição
Palavras-chave
Mandible Free flap reconstruction Fibular free flap Actinomycosis Actinomyces
Contexto Educativo
Citação
Editora
Springer