{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:56:34Z","timestamp":1789052194473,"version":"build-2803163510"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Osteomyelitis is an inflammatory condition of the bones that often starts with an infection of the medullary cavity and swiftly extends to the haversian system and periosteum. If drainage and antimicrobials are ineffective, acute osteomyelitis may progress to chronic osteomyelitis. Here, we offer a unique case that analyzes the radiographic and clinical characteristics of osteomyelitis with underlying disease. Cysts and cyst-like lesions of the jaws must be diagnosed and evaluated using radiographic findings in conjunction with clinical complaints. This case study examines the circumstances that led to the diagnosis of osteomyelitis and demonstrates several noteworthy lessons. As decortication is less invasive and more effective at treating primary chronic osteomyelitis than peripheral or segmental excision of the jaw, and the use of vancomycin as local hard and soft tissue dressing over the surgical site, we emphasize its significance.<\/jats:p>","DOI":"10.4103\/jomfp.jomfp_533_22","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T19:54:04Z","timestamp":1725652444000},"page":"604-605","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Iceberg lesion\u2014A rare case of chronic osteomyelitis of the jaw with underlying radicular cyst: A case report"],"prefix":"10.4103","volume":"27","author":[{"given":"Smriti","family":"Ticku","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karishma","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"},{"name":"Department of Oral Pathology, KLE VK Institute of Dental Sciences, Belagavi, KLE Academy of Higher Educationand Research (KLE University), Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravina","family":"Dharamsi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,12]]},"reference":[{"key":"R1-20240906","first-page":"e18616","article-title":"A rare case of osteomyelitis presenting as cyst-like lesion in the coronoid process:A diagnostic challenge","volume":"13","author":"Rajendiran","year":"2021","journal-title":"Cureus"},{"key":"R2-20240906","doi-asserted-by":"crossref","first-page":"475","DOI":"10.5152\/dir.2014.14143","article-title":"Nonodontogenic mandibular lesions:Differentiation based on CT attenuation","volume":"20","author":"\u00d6zg\u00fcr","year":"2021","journal-title":"Diagn Interv Radiol"},{"key":"R3-20240906","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/S1042-3699(20)30504-5","article-title":"Acute osteomyelitis of the jaw","volume":"3","author":"Mercuri","year":"1991","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"R4-20240906","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jormas.2017.04.007","article-title":"Osteomyelitis of the jaws:A retrospective series of 40 patients","volume":"118","author":"Andre","year":"2017","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"R5-20240906","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.idc.2017.01.010","article-title":"Osteomyelitis","volume":"31","author":"Schmitt","year":"2017","journal-title":"Infect Dis Clin North Am"},{"key":"R6-20240906","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1055\/s-0029-1214160","article-title":"Radiographic imaging in osteomyelitis:The role of plain radiography, computed tomography, ultrasonography, magnetic resonance imaging, and scintigraphy","volume":"23","author":"Pineda","year":"2009","journal-title":"Semin Plast Surg"},{"key":"R7-20240906","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.tripleo.2011.05.005","article-title":"Consideration of positioning errors in the assessment of distortion in the mandibular third molar region on panoramic radiographs","volume":"112","author":"Dudhia","year":"2011","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol"},{"key":"R8-20240906","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S1010-5182(97)80021-2","article-title":"Mandibular osteomyelitis:Evaluation and staging in 18 patients, using magnetic resonance imaging, computed tomography and conventional radiographs","volume":"25","author":"Schuknecht","year":"1997","journal-title":"J Craniomaxillofac Surg"},{"key":"R10-20240906","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1093\/cid\/cis027","article-title":"Vancomycin for surgical prophylaxis?","volume":"54","author":"Crawford","year":"2012","journal-title":"Clin Infect Dis"},{"key":"R11-20240906","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.spinee.2011.04.025","article-title":"Reduced surgical site infections in patients undergoing posterior spinal stabilization of traumatic injuries using vancomycin powder","volume":"11","author":"O'Neill","year":"2011","journal-title":"Spine J"},{"key":"R12-20240906","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/ams.ams_211_17","article-title":"Odontome, cyst, impacted tooth, and space infection in a single patient:All-in-one diagnostic Dilemma","volume":"8","author":"Shetty","year":"2018","journal-title":"Surg Ann Maxillofac Surg"}],"container-title":["Journal of Oral and Maxillofacial Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jomfp.jomfp_533_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:01:13Z","timestamp":1786647673000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jomfp.jomfp_533_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jomfp.jomfp_533_22","relation":{},"ISSN":["0973-029X","1998-393X"],"issn-type":[{"value":"0973-029X","type":"print"},{"value":"1998-393X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-12-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}