py

B. Culture sensitivity with antibiotic therapv and

hyperbaric oxygen therapy

C. Sequestrectomy, surgical exploration and

prolonged antibiotic therapy after culture

sensitivity

D. Sequestrectomy, antibiotics after sensitivity

and hydrocortisone therapy

29. Saucerisation as a surgical treatment for osteomyelitis

connotes:

A. Complete removal of decaved bone with

primary closure of wound

B. Trimming or excision of margins of necrotic

bone overlying focus of osteomyelitis and

allowing secondary healing

C. Creating a saucer shaped defect by excision of

the defect with primary closure

D. None of the above

30. In treating osteomyelitis with hyperbaric oxygen:

A. 30% oxygen is used at 1 arm

B. 70% oxygen is used at 2 arm

C. 100% oxygen is used at 3 arm

D. 80% oxygen is used at 2 atm

31. A 40-year old patient presented with multiple

extraoral sinuses with yellowish discharge and

with history of intermittent remission after antibiotics

treatment two months ago. The disease

started after extraction of 2nd mandibular

premolar. It is suggestive of:

A. Tubercular osteomyelitis

B. Actinomycosis

C. Subperiosteal Garres osteomyelitis

D. Dissecting subperiorteal abscess

Answers

1 A.

2 C. Though all features are present as seen with

other infections. But the irritation of masseter

and medial pterygoid due to infection causes

severe trismus.

3 B. The investing layer of deep fascia of neck forms

a collar of the neck. It is firmly adherent to

periosteum of lower border of mandible thus

preventing the spread. Though they can spread

to lateral pharyngeal space which can spread

infection to superior mediastinum in neck to

posterior mediastinum in thorax. But direct

spread usually does not occur.

4 D. Masticator space is bounded by the pterygomassetric

sling encompassed in superficial and deep

layer of investing layer of deep cervical fascia.

Which is tenaciously adherent to lower border

and houses body of mandible, with its periosteum.

The tenacious adherence to periosteum

prevents the spread of infection interiorly to

submandibular space. But infection can travel to

sublingual space or submandibular space.