带状疱疹感染后下颌骨坏死的延迟表现——病例报告
Delayed Presentation of Mandibular Osteonecrosis Following Herpes Zoster Infection - A Case Report.
作者信息
Chatterjee Aritra, Chattopadhyay Abira, Mandal Soumen, De Nayana, Hossain Md Arif, Pakhira Soubhik
机构信息
Department of Oral and Maxillofacial Surgery, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
Department of Oral and Maxillofacial Surgery, Burdwan Dental College and Hospital, Bardhaman, West Bengal, India.
出版信息
Ann Maxillofac Surg. 2023 Jul-Dec;13(2):220-223. doi: 10.4103/ams.ams_42_23. Epub 2023 Sep 20.
RATIONALE
Apart from the usual presentation of herpes zoster (HZ) infection (HZI), reports of spontaneous teeth exfoliation and osteonecrosis are infrequent and sporadic.
PATIENT CONCERNS
A 51-year-old male patient presented with spontaneous exfoliation of multiple teeth and subsequent pathological fracture on the right side of the lower jaw after three months of HZI.
DIAGNOSIS
Biopsy was taken from the alveolar bone of the oedematous region, which revealed the presence of trabeculae of dead bone with empty lacunae.
INTERVENTION
Necrosed part of the alveolar bone was excised under local anaesthesia and antibiotic coverage, which was followed by open reduction and internal fixation of the pathological fracture under general anaesthesia.
OUTCOMES
The patient was followed up for one year without any evidence of recurrences.
TAKE-AWAY LESSONS: Presentation of osteonecrosis following HZI is unique but rare and should be diagnosed at the earliest.
理论依据
除了带状疱疹感染（HZI）的常见表现外，自发牙齿脱落和骨坏死的报告并不常见且较为零散。
患者情况
一名51岁男性患者在患HZI三个月后出现多颗牙齿自发脱落，随后下颌右侧发生病理性骨折。
诊断
从水肿区域的牙槽骨取活检，结果显示存在带有空陷窝的死骨小梁。
干预措施
在局部麻醉和抗生素覆盖下切除牙槽骨的坏死部分，随后在全身麻醉下对病理性骨折进行切开复位内固定。
结果
对患者进行了一年的随访，未发现任何复发迹象。
经验教训
HZI后出现骨坏死的表现独特但罕见，应尽早诊断。
Zotero 插件