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Management of Osteomyelitis in Patient with Oral Submucous Fibrosis: A Case Report

Giri KY, Sarwar Alam and Ruby Khan

We report an interesting case of chronic suppurative osteomyelitis of mandible in a patient with oral submucous fibrosis. The coexistence of two diseases in the present case differ in their etiology, clinical behavior and treatment modalities. Initial management of trismus associated with oral submucous fibrosis was done with fibrotomy of submucosal bands and post incisional fibrotomy coverage was done with buccal pad of fat. After achieving adequate mouth opening following fibrotomy, then management of osteomyelitis was carried out with intraoral extraction of offending tooth, debridement, curettage of necrotic bone, followed by extraoral sinus excision and post-operative antibiotic therapy. Following surgery, jaw exercises were initiated promptly after 3 days and continued for 6 months