@article{oai:mdu.repo.nii.ac.jp:00002356, author = {UCHIDA, KEIICHI and YAMADA, SHINICHIRO and SUGINO, NORIYUKI and KUROIWA, HIROKO and TAKADA, MASAKI and KAGAMI, HIDEAKI and SHINOHARA, ATSUSHI and TAGUCHI, AKIRA and 内田, 啓一 and 山田, 真一郎 and 杉野, 紀幸 and 黒岩, 博子 and 髙田, 匡基 and 各務, 秀明 and 篠原, 淳 and 田口, 明}, issue = {2}, journal = {松本歯学, Journal of the Matsumoto Dental University Society}, month = {Dec}, note = {application/pdf, We report a case of Garré osteomyelitis of the mandible involving a child. The patient was a 12–year–old girl with symptoms of swelling and pain of the left face. She presented to our hospital with asymmetrical swelling and tenderness and redness from the left cheek to the lower jaw, and tenderness of the left submandibular lymph nodes. Panoramic radiography revealed a well–demarcated radiolucent lesion that continued to the periodontal space of the second molar of the left mandible and was surrounded by a diffuse osteosclerotic area. In addition, cone beam CT images showed an onion peel–like periosteal reaction on the buccal side of the left mandible near this radiolucent lesion. A diagnosis of cellulitis of the left cheek and Garré osteomyelitis of the mandible was determined based on clinical and imaging findings. A cephem antibiotic (D.I.V.) and oral antibacterial drugs were started to improve inflammation. The symptoms promptly improved on the 4th day after the starr of treatment. It was reported that conservative therapy is appropriate treatment to repair tissues from the viewpoint of jaw development as well as the process of tooth formation in children. An early diagnosis based on specific findings like an onion peel appearance on imaging is required for effective treatment of osteomyelitis of the mandible in childhood.}, pages = {111--116}, title = {小児に発症した下顎骨のGarré 骨髄炎のエックス線学的検討}, volume = {40}, year = {2014} }