Stage Ⅱ 약물유발 악골괴사(MRONJ)에서 외과적 치료법이 갖는 효용성
Usability of Surgical Treatment of Stage Ⅱ Medication Related Osteonecrosis of the Jaw
황대석, 송재민, 유미현, 최나래,
소속 상세정보
황대석 ( Hwang Dae-Seok ) - 부산대학교 치의학대학원 구강악안면외과학교실
송재민 ( Song Jae-Min ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
유미현 ( Ryu Mi-Heon ) - 부산대학교 치의학전문대학원 구강병리학교실
최나래 ( Choi Na-Rae ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
Abstract
This study was planned to evaluate the efficacy of surgical treatment in stage 2 medication related osteonecrosis of jaw(MRONJ) patients.
Retrospective analysis was performed about patients who were treated with medication related osteonecrosis of jaw from 2015 to 2017.
25 Patients were treated by a single surgeon at the Department of Oral Surgery, Dental Hospital, Pusan National University. The treatment methods they received were conservative or surgical. The results of treatment were classified as "fail" and "success" and the prognosis according to the treatment method was compared. Conservative treatment 14.29% (2 cases), sequestrectomy 64.29% (9 cases) and saucerization 21.43% (3 cases) were performed in the MRONJ group, and 2 treatment failures were encountered after conservative treatment and 1 after saucerization. Surgical treatment resulted in better outcomes in stage 2 MRONJ patients. Furthermore, treatments were deemed successful when surrounding necrotic bone containing sequestrum was reliably removed. Therefore, this study suggests that the treatment of "stage 2" MRONJ should actively consider surgical treatment.
키워드
Medication related osteonecrosis of jaw(MRONJ); Stage 2; Surgical treatment; Usability
원문 및 링크아웃 정보
등재저널 정보