Pharmacological treatment was undertaken with clindamycin 600 mg IV every 6 hours and Ceftriaxone, 1 g IV every 12 hours. At a later point, a subtotal hemimaxillectomy was performed preserving the lower orbital ridge. Surgery was performed under balanced inhalation general anesthesia, observing a 5 cm circum-vestibular approach, dissecting tissue until reaching bone exposition. Bone necrotic areas were observed. A 4.5 x 4 cm surgical specimen was harvested. Lesion free bone borders were clinically observed. Sutures were performed with treble cero polyglycolic acid material.
Se inicia tratamiento farmacológico con clindamicina 600 mg IV cada 6 h y ceftriaxona 1 g IV cada 12 h. Posteriormente se realiza hemimaxilectomía subtotal respetando el reborde inferior orbitario bajo anestesia general inhalatoria balanceada, mediante abordaje circunvestibular de 5 cm con disección de tejidos hasta exposición ósea, observando áreas óseas de necrosis, se retira espécimen quirúrgico de 4.5 x 4 cm. Clínicamente se observan bordes óseos libres de lesión y se sutura con ácido poliglicólico 3 ceros.