비스포스포네이트 연관 악골 괴사증 환자에서 유경 협부 지방 피판을 이용한 치료
Surgical Management of Bisphosphonate Related Osteonecrosis of the Jaw Using Pedicled Buccal Fat Pad Flap
이장하, 김민근, 김성곤, 박영욱, 박상욱, 박영주,
소속 상세정보
이장하 ( Lee Jang-Ha ) - 강릉원주대학교 치과대학 구강악안면외과학교실
김민근 ( Kim Min-Geun ) - 강릉원주대학교 치과대학 구강악안면외과학교실
김성곤 ( Kim Seong-Gon ) - 강릉원주대학교 치과대학 구강악안면외과학교실
박영욱 ( Park Young-Wook ) - 강릉원주대학교 치과대학 구강악안면외과학교실
박상욱 ( Park Sang-Wook ) - 한림대학교 강남성심병원 치과
박영주 ( Park Young-Ju ) - 한림대학교 강남성심병원 치과
KMID : 1036320130350030174
Abstract
Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a disease characterized by jaw necrosis and delayed wound healing in patients who had received bisphosphonates. Buccal fat pad (BFP) can be used as a pedicled flap in the posterior region of the oral cavity. BFP pedicle flap needs simple surgical technique and it shows less donor site morbidity and aesthetic problem than other vascularized flap. BFP pedicled flap was fed by 3 arteries-facial, internal maxillary, and transverse facial artery. Osteomyelitis was generally related with poor blood supply. Thus, rich blood supply of BFP pedicle flap can have a potential advantage to BRONJ patients. In this case report, we presented 3 BRONJ patients treated by BFP pedicle flap after sequestrectomy.
키워드
Bisphosphonate-associated osteonecrosis of the jaw;Surgical treatment;Pedicled buccal fat pad flap
원문 및 링크아웃 정보
등재저널 정보