An extensive literature has grown up around the subject of osteomyelitis of the maxilla in nurslings and infants. The clinical picture has been described under a varied terminology, and many factors have been ascribed to its causation. The onset of the disease has varied from the first week to the ninth month of the infant's life, but the greatest number of cases on record have occurred within the first few weeks of the neonatal period. The basic clinical picture has been strikingly uniform, with redness, swelling, purulent discharge, necrosis and sequestration of the maxilla on one or all of its surfaces (nasal, orbital, facial and palatal). The points of entry, the method of spread of the invading organism and the clinical course have varied greatly, however.
The subject has been extensively reviewed and summarized in the American literature twice within recent years in articles by Bass1 and Wilensky.2