Cases were treated with antimicrobial therapy. Preoperatively, patients were prescribed Clindamycin, 300 mg every eight hours, Cefriaxone, 1 g IV every 12 hours. Cases were surgically treated with subtotal hemi-maxillectomy. Postoperatively, cases were treated with Penicillin G 800,000 units IM per day, for 30 days. All cases evolved satisfactorily without relapse.
Se presentan 4 casos de osteomielitis crónica en el maxilar tratadas entre 2007 y 2009 mediante terapia antimicrobiana preoperatoriamente con clindamicina 300 mg, IV cada 8 h y ceftriaxona 1 g IV cada 12 h quirúrgicamente con hemimaxilectomía subtotal, postoperatoriamente se trata con penicilina G procaínica 800,000 UI IM cada 24 hrs. resolviendo satisfactoriamente y sin recidiva actual en todos los casos.