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颌骨药物相关性骨坏死的管理

Management of Medication-Related Osteonecrosis of the Jaw.

作者信息

Williams William Bradford, O'Ryan Felice

机构信息

Division Maxillofacial Surgery, Oakland Medical Center, Kaiser Permanente, 3600 Broadway Kaiser, Oakland, CA 94611, USA.

Division Maxillofacial Surgery, Oakland Medical Center, Kaiser Permanente, 3600 Broadway Kaiser, Oakland, CA 94611, USA. Electronic address: Felice.O'

出版信息

Oral Maxillofac Surg Clin North Am. 2015 Nov;27(4):517-25. doi: 10.1016/j.coms.2015.06.007.

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) primarily involves patients receiving intravenous bisphosphonates for treatment of skeletal-related malignancies, oral bisphosphonates, and denosumab. There is no consensus regarding the clinical management of MRONJ. Successful treatment may be that which results in a cure, with complete mucosal coverage and elimination of disease, or that which improves the quality of life without a cure (palliation). Helping patients to understand the chronicity and potential progression of the disease is essential to a satisfactory outcome. This review aims to share our treatment approach to patients with MRONJ. Treatment can be divided into medical and surgical therapies.

摘要

药物相关性颌骨坏死(MRONJ)主要累及接受静脉注射双膦酸盐治疗骨骼相关恶性肿瘤、口服双膦酸盐及地诺单抗的患者。关于MRONJ的临床管理尚无共识。成功的治疗可能是实现治愈,即完全覆盖黏膜并消除疾病,或者是在无法治愈的情况下提高生活质量(姑息治疗)。帮助患者了解疾病的慢性病程和潜在进展对于取得满意的治疗效果至关重要。本综述旨在分享我们对MRONJ患者的治疗方法。治疗可分为药物治疗和手术治疗。

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