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Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review

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Resumo:Abstract Introduction: Pycnodysostosis is a rare autosomal recessive syndrome that provides the abnormal bone metabolism that increases the susceptibility of patients to develop osteomyelitis. Objective: This systematic review was conducted to analyze the risk factors associated with the development of complications in the jaws (fractures and osteomyelitis), as well as their clinicalpathological characteristics and therapeutic approaches in patients with pycnodysostosis. Methods: Searches were performed in the PubMed, Web of Science, Scopus, Lilacs, and Cochrane databases. Case reports or case series that met the eligibility criteria according to the PRISMA statement were included. The full texts of 31 articles were retrieved. Twenty of these articles published between 1969 and 2018 were selected, which described 26 cases of osteomyelitis in patients with pycnodysostosis. Results: The mean age of the patients was 37.84 years; the male-to-female was 1.36:1. The mandible was the most affected site (76.9%). Tooth extraction was the main risk factor for osteomyelitis (61.5%), followed by infection (26.8%) and mandibular fracture (23.0%). Antibiotic therapy alone or combined with some surgical procedure was the treatment used in most cases (80.7%). Conclusion: The findings of this review showed that patients with pycnodysostosis are more likely to develop osteomyelitis of the jaws after surgical procedures, especially tooth extraction which remains the main risk factor for its establishment. In addition, prophylactic antibiotictherapy in the pre- and postoperative periods may prevent the development of osteomyelitis in pycnodysostosis.
Autores principais:França,Glória Maria de
Outros Autores:Felix,Fernanda Aragão; Morais,Everton Freitas de; Medeiros,Maurília Raquel de Souto; Andrade,Ana Cláudia de Macedo; Galvão,Hébel Cavalcanti
Assunto:Pycnodysostosis Cathepsin K Osteomyelitis Diagnosis Jaws
Ano:2021
País:Brasil
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
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author França,Glória Maria de
author2 Felix,Fernanda Aragão
Morais,Everton Freitas de
Medeiros,Maurília Raquel de Souto
Andrade,Ana Cláudia de Macedo
Galvão,Hébel Cavalcanti
author2_role author
author
author
author
author
author_facet França,Glória Maria de
Felix,Fernanda Aragão
Morais,Everton Freitas de
Medeiros,Maurília Raquel de Souto
Andrade,Ana Cláudia de Macedo
Galvão,Hébel Cavalcanti
author_role author
country_str BR
creators_json_txt [{\"Person.name\":\"França,Glória Maria de\"},{\"Person.name\":\"Felix,Fernanda Aragão\"},{\"Person.name\":\"Morais,Everton Freitas de\"},{\"Person.name\":\"Medeiros,Maurília Raquel de Souto\"},{\"Person.name\":\"Andrade,Ana Cláudia de Macedo\"},{\"Person.name\":\"Galvão,Hébel Cavalcanti\"}]
datacite.creators.creator.creatorName.fl_str_mv França,Glória Maria de
Felix,Fernanda Aragão
Morais,Everton Freitas de
Medeiros,Maurília Raquel de Souto
Andrade,Ana Cláudia de Macedo
Galvão,Hébel Cavalcanti
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
datacite.titles.title.fl_str_mv Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
dc.creator.none.fl_str_mv França,Glória Maria de
Felix,Fernanda Aragão
Morais,Everton Freitas de
Medeiros,Maurília Raquel de Souto
Andrade,Ana Cláudia de Macedo
Galvão,Hébel Cavalcanti
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942021000500620
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Brazilian Journal of Otorhinolaryngology v.87 n.5 2021
reponame:Brazilian Journal of Otorhinolaryngology
instname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron:ABORL-CCF
dc.subject.none.fl_str_mv Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
dc.title.fl_str_mv Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Abstract Introduction: Pycnodysostosis is a rare autosomal recessive syndrome that provides the abnormal bone metabolism that increases the susceptibility of patients to develop osteomyelitis. Objective: This systematic review was conducted to analyze the risk factors associated with the development of complications in the jaws (fractures and osteomyelitis), as well as their clinicalpathological characteristics and therapeutic approaches in patients with pycnodysostosis. Methods: Searches were performed in the PubMed, Web of Science, Scopus, Lilacs, and Cochrane databases. Case reports or case series that met the eligibility criteria according to the PRISMA statement were included. The full texts of 31 articles were retrieved. Twenty of these articles published between 1969 and 2018 were selected, which described 26 cases of osteomyelitis in patients with pycnodysostosis. Results: The mean age of the patients was 37.84 years; the male-to-female was 1.36:1. The mandible was the most affected site (76.9%). Tooth extraction was the main risk factor for osteomyelitis (61.5%), followed by infection (26.8%) and mandibular fracture (23.0%). Antibiotic therapy alone or combined with some surgical procedure was the treatment used in most cases (80.7%). Conclusion: The findings of this review showed that patients with pycnodysostosis are more likely to develop osteomyelitis of the jaws after surgical procedures, especially tooth extraction which remains the main risk factor for its establishment. In addition, prophylactic antibiotictherapy in the pre- and postoperative periods may prevent the development of osteomyelitis in pycnodysostosis.
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person_str_mv França,Glória Maria de
Felix,Fernanda Aragão
Morais,Everton Freitas de
Medeiros,Maurília Raquel de Souto
Andrade,Ana Cláudia de Macedo
Galvão,Hébel Cavalcanti
publishDate 2021
publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
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spelling Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic reviewFrança,Glória Maria deFelix,Fernanda AragãoMorais,Everton Freitas deMedeiros,Maurília Raquel de SoutoAndrade,Ana Cláudia de MacedoGalvão,Hébel CavalcantiPycnodysostosisCathepsin KOsteomyelitisDiagnosisJawsopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942021000500620URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942021000500620URLHasVersion2021-10-01Abstract Introduction: Pycnodysostosis is a rare autosomal recessive syndrome that provides the abnormal bone metabolism that increases the susceptibility of patients to develop osteomyelitis. Objective: This systematic review was conducted to analyze the risk factors associated with the development of complications in the jaws (fractures and osteomyelitis), as well as their clinicalpathological characteristics and therapeutic approaches in patients with pycnodysostosis. Methods: Searches were performed in the PubMed, Web of Science, Scopus, Lilacs, and Cochrane databases. Case reports or case series that met the eligibility criteria according to the PRISMA statement were included. The full texts of 31 articles were retrieved. Twenty of these articles published between 1969 and 2018 were selected, which described 26 cases of osteomyelitis in patients with pycnodysostosis. Results: The mean age of the patients was 37.84 years; the male-to-female was 1.36:1. The mandible was the most affected site (76.9%). Tooth extraction was the main risk factor for osteomyelitis (61.5%), followed by infection (26.8%) and mandibular fracture (23.0%). Antibiotic therapy alone or combined with some surgical procedure was the treatment used in most cases (80.7%). Conclusion: The findings of this review showed that patients with pycnodysostosis are more likely to develop osteomyelitis of the jaws after surgical procedures, especially tooth extraction which remains the main risk factor for its establishment. In addition, prophylactic antibiotictherapy in the pre- and postoperative periods may prevent the development of osteomyelitis in pycnodysostosis.engtext/htmlAssociação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.Brazilian Journal of Otorhinolaryngology v.87 n.5 2021reponame:Brazilian Journal of Otorhinolaryngologyinstname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)instacron:ABORL-CCFjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
França,Glória Maria de
Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
status SINGLETON
status_str VoR
subject.fl_str_mv Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
title Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
title_full Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
title_fullStr Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
title_full_unstemmed Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
title_short Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
title_sort Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review
topic Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
topic_facet Pycnodysostosis
Cathepsin K
Osteomyelitis
Diagnosis
Jaws
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942021000500620
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