Osteomyelitis of skull

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  • Due to Long standing infection
  • Aka Post puffy tumour: swelling and edema
  • Mainly: stap aureus, staph epidermidis
  • Imaging: bony reabsorption, periosteal reaction, contrast enhancement
  • Treatment
    • Antibiotics alone not enough
    • Surgery to debride dead bone → 6-12wks antibiotics
    • Cranioplasty 6 months