Refinements in the reconstruction of bisphosphonate-related osteonecrosis of the jaw ?

Maeda, Taku; Yamamoto, Yuhei; Satoh, Akira et al.

JPRAS Open, 2023, 35, 1-5

Permalink : https://hdl.handle.net/2115/89179

このアイテムのアクセス数:317件（2026-08-11 20:14 集計）

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https://doi.org/10.1016/j.jpra.2022.11.004     22

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アクセス権
open access
URI
https://hdl.handle.net/2115/89179
タイトル
Refinements in the reconstruction of bisphosphonate-related osteonecrosis of the jaw ?
著者
Maeda, Taku ; Yamamoto, Yuhei ; Satoh, Akira ; Hayashi, Toshihiko
著者名
Maeda, Taku
著者名
Yamamoto, Yuhei
著者名
Satoh, Akira
著者名
Hayashi, Toshihiko
言語
英語
キーワード
Bisphosphonate-related osteonecrosis of the
jaw
Plate fixation
Microsurgical reconstruction
Progressive
Maxillary
Mandibular
発行日
2023-03
出版者
Elsevier
収録物名
JPRAS Open
巻(号)
35
ページ
1-5
抄録
The recommended treatment strategy for stage 3 bisphosphonate-related osteonecrosis of the jaw (BRONJ) is currently rigid plate fixation without bone reconstruction. However, a recent systematic review indicated the utility of microsurgical reconstruction after resection of BRONJ. Several types of flaps have been described but their applications are controversial. Here we present a detailed reconstruction plan for obtaining better outcomes in patients with maxillary and mandibular BRONJ. Given that progressive maxillary BRONJ is often invasive to the skin, including the eyelid, leading to functional loss such as leakage of discharge and ectropion, several revision surgeries are needed to increase the volume in the defect after the free flap transfer. For progressive mandibular BRONJ, hemi-mandibulectomy to subtotal mandibulectomy with an adequate margin from the necrotic bone is necessary, followed by a well-designed fibular free flap.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
PISSN
2352-5878
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1016/j.jpra.2022.11.004