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COVID-19 相关上颌骨缺血性坏死——一种罕见的 COVID-19 新副作用。

COVID-Associated Avascular Necrosis of the Maxilla-A Rare, New Side Effect of COVID-19.

机构信息

Resident, Katz Department of Oral & Maxillofacial Surgery, The University of Texas at Houston, Houston, Texas, United States of America.

Resident, Katz Department of Oral & Maxillofacial Surgery, The University of Texas at Houston, Houston, Texas, United States of America.

出版信息

J Oral Maxillofac Surg. 2022 Jul;80(7):1254-1259. doi: 10.1016/j.joms.2022.04.015. Epub 2022 May 6.

Abstract

PURPOSE

The purpose of this article is to present an interesting, rare case of a patient who experienced avascular necrosis of the maxilla associated with COVID-19 infection.

METHODS AND RESULTS

Our team retrospectively evaluated this patient's chart after completion of surgical management. The patient is a 72-year-old male who presented to the University of Texas Health Science Center at Houston for surgical management of his infarcted maxilla, which developed as a sequela of infection with COVID-19. A literature review was completed using PubMed. Twenty-five articles are reviewed and discussed.

CONCLUSIONS

Infection with COVID-19 confers a hypercoagulable state in patients, leading to various complications in the head and neck region. In our case report, we present a patient who developed avascular necrosis of the maxilla secondary to infection with COVID-19. Thromboembolic prophylaxis is imperative in COVID-19 patients due to the high rate of potential systemic complications.

摘要

目的

本文旨在介绍一例与 COVID-19 感染相关的罕见上颌骨无菌性坏死病例。

方法和结果

我们的团队在完成手术治疗后对该患者的病历进行了回顾性评估。患者为 72 岁男性,因感染 COVID-19 后继发的上颌骨梗死,到休斯顿德克萨斯大学健康科学中心接受手术治疗。我们使用 PubMed 完成了文献回顾。共回顾并讨论了 25 篇文章。

结论

COVID-19 感染使患者处于高凝状态,导致头颈部出现各种并发症。在我们的病例报告中,我们介绍了一例因感染 COVID-19 导致上颌骨无菌性坏死的患者。由于 COVID-19 患者存在潜在全身性并发症的高风险,因此血栓栓塞预防至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a8/9072768/9e544471e0e7/gr1_lrg.jpg

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