《Journal of Oral and Maxillofacial Surgery》 ›› 2020, Vol. 30 ›› Issue (1): 53-55. doi: 10.3969/j.issn.1005-4979.2020.01.011

• Case Report • Previous Articles     Next Articles

A Case Report of Medication-related Osteonecrosis of the Maxilla and Mandible

LIN Wenqing(), HU Yanping()   

  1. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Xiamen Medical College, Xiamen 361000, Fujian Province, China
  • Received:2019-10-12 Revised:2019-12-03 Online:2020-02-28 Published:2020-02-21

双膦酸盐导致上、下颌骨大面积坏死病例报道

林文清(), 胡砚平()   

  1. 厦门医学院附属口腔医院口腔颌面外科,福建 厦门 361000
  • 通讯作者: 胡砚平,主任医师. E-mail: huyanpingphd@163.com
  • 作者简介:

    林文清(1987—),男,福建厦门人,主治医师,硕士. E-mail:

Abstract:

Medication-related osteonecrosis of the jaw (MRONJ) is a severe complication of bone modulating drugs or other targeted agent therapies. MRONJ's clinical appearances include exposed bone, pus, and sequestra in the maxilla or mandible regions. Related reports have gradually increased in recent years. This article reported a typical case of bisphosphonate-related osteonecrosis of both the maxilla and mandible, with literatures review.

Key words: bisphosphonates, osteonecrosis of jaw, medication-related

摘要:

药物相关性颌骨坏死(medication related osteonecrosis of the jaw,MRONJ)是由于使用抗骨吸收或肿瘤靶向治疗类药物而产生的一种严重不良反应。临床上以颌骨骨外露、感染流脓、死骨形成为主要特征。近年来相关报道逐渐增多,但因药物引起上、下颌骨同时出现大面积坏死的病例尚罕见报道。现报告我院1例肺癌患者,因病长期应用双膦酸盐而引起药物性上、下颌骨大面积坏死的详细资料,并结合文献探讨此类病例的临床诊治要点。

关键词: 双膦酸盐, 颌骨坏死, 药物相关性

CLC Number: