Zygoma osteomyelitis: a case report

Authors

  • Swathi Dhayalan Department of Otorhinolaryngology and Head and Neck Sciences, J. J. M. Medical College, Davangere, Karnataka, India
  • Arfan Nasser Department of Otorhinolaryngology and Head and Neck Sciences, J. J. M. Medical College, Davangere, Karnataka, India
  • Supreetha Patil Department of Otorhinolaryngology and Head and Neck Sciences, J. J. M. Medical College, Davangere, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20250797

Keywords:

Zygoma osteomyelitis, Debridement, Atypical presentation

Abstract

Chronic osteomyelitis is inflammation of the bone along with the medullary cavity and Haversian system. Occurrence of chronic osteomyelitis in the zygoma is rare. This article is to report a case of 68 year old female diagnosed with left zygoma osteomyelitis. Computed tomography (CT) facial skeleton revealed features suggestive of chronic osteomyelitis. Surgical debridement was done with broad spectrum antibiotics coverage. Histopathological examination confirmed the diagnosis. This case describes atypical presentation of chronic osteomyelitis and its management. The article also focuses on the various aetiologies of chronic osteomyelitis and the factors influencing the extent of spread of the disease. Various treatment strategies with respect to the surgical management and medications used have also been elaborated. Other instances of chronic osteomyelitis localised to the head and neck region shed a light on the future of a higher quality and wholesome treatment protocol, whether it be bacterial, tubercular or fungal. Trauma induced and postoperative, as well as radiotherapy induced osteomyelitis require more of a protocol for prevention of further complications, osteomyelitis being one of highly morbid conditions affecting these sets of patients. 

Metrics

Metrics Loading ...

References

Borle RM, Borle SR. Osteomyelitis of the zygomatic bone: a case report. J Oral Maxillofac Surg. 1992;50(3):296-8. DOI: https://doi.org/10.1016/0278-2391(92)90331-S

Rangila R. Osteomyelitis of zygoma secondary to depressed fracture of parietal bone: Case report of a rare entity. Natl J Maxillofac Surg. 2016;7(1):96-9. DOI: https://doi.org/10.4103/0975-5950.196138

Gross T, Kaim AH, Regzzoni P, Widmer AF. Current concept in post-traumatic osteomyelitis-A diagnostic challenge with new imaging options. J Trauma. 2002;52(6):1210-93. DOI: https://doi.org/10.1097/00005373-200206000-00032

Chhabra B, Vyas P, Gupta P, Sharma P, Sharma K. Incidence, diagnosis and treatment of otorhinolaryngological, head and neck tuberculosis: a prospective clinical study. Int Arch Otorhinolaryngol. 2023;27(4):e630-5. DOI: https://doi.org/10.1055/s-0043-1761173

Bhola N, Gupta C, Wadhwani N. Primary tubercular osteomyelitis of zygoma: A literature review and case report. ID Cases. 2024;37:e02044. DOI: https://doi.org/10.1016/j.idcr.2024.e02044

Matsuki T, Miyamoto S, Yamashita T. Cryptococcal osteomyelitis of the Zygomatic bone: a case report. BMC Infect Dis. 2020;20(1):399. DOI: https://doi.org/10.1186/s12879-020-05123-2

Adekeye EO, Cornah J. Osteomyelitis of the jaws: a review of 141 cases. Br J Oral Maxillofac Surg 1985;23:24-35. DOI: https://doi.org/10.1016/0266-4356(85)90075-0

Rai A, Jain A, Thukral R. Osteomyelitis of frontal sinus, zygomatic bone and maxilla. BMJ Case Rep. 2020;13(9):e236163. DOI: https://doi.org/10.1136/bcr-2020-236163

Yadav S, Saini A, Singh A, Verma H. Batwing incision for a case of bilateral fungal zygomatic osteomyelitis. BMJ Case Rep. 2022;15(5):e247387. DOI: https://doi.org/10.1136/bcr-2021-247387

Tsur N, Segal E, Kurman N, Tzelnick S, Wiesel O, Wilk L, et al. Post-radiotherapy osteomyelitis of the cervical spine in head and neck cancer patients. BJR Open. 2023;5(1):20230001. DOI: https://doi.org/10.1259/bjro.20230001

Downloads

Published

2025-03-25

How to Cite

Dhayalan, S., Nasser, A., & Patil, S. (2025). Zygoma osteomyelitis: a case report. International Journal of Otorhinolaryngology and Head and Neck Surgery, 11(2), 169–172. https://doi.org/10.18203/issn.2454-5929.ijohns20250797

Issue

Section

Case Reports