Medication‐related osteonecrosis of the posterior maxilla: surgical treatment using a combined transnasal endoscopic and intraoral approach, our experience with seven consecutive patients

Medication‐related osteonecrosis of the posterior maxilla: surgical treatment using a combined... KeypointsUpper jaw MRONJ if not correctly treated can lead to serious complication.Upper jaw MRONJ is frequently associated with maxillary sinusitis; the disease can spread to other paranasal sinuses.Combined approach is the most reliable procedure to treat odontogenic sinusitis, although MRONJ‐associated sinusitis is considered odontogenic there is no report in literature describing combined approach to treat MRONJ‐induced sinusitis.Buccal fat pad represents the best reconstructive option to close the bony defect.BFPF does not allow rehabilitation through dental implant because it is adipose tissue and not bone tissue. However, guidelines do not recommend implant‐supported prosthetic rehabilitation in patients with history of MRONJ so conventional dental rehabilitation should be carried out.INTRODUCTIONMedication‐related Osteonecrosis of the Jaw (MRONJ) is a rising problem. Current standard treatments include conservative approach, for patients unfit or unwilling to undergo surgery, and open surgery, which is the most effective treatment to eradicate the disease. MRONJ has an easier management and a more favourable outcome when early diagnosed. Therefore, early detection and a consequent diagnosis must be carried out as soon as possible by dental or maxillofacial specialists. Recently, surgical reconstruction with pedicled buccal fat pad has been proposed. MRONJ is known to affect mainly the lower jaw, but in roughly http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Medication‐related osteonecrosis of the posterior maxilla: surgical treatment using a combined transnasal endoscopic and intraoral approach, our experience with seven consecutive patients

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.12999
Publisher site
See Article on Publisher Site

Abstract

KeypointsUpper jaw MRONJ if not correctly treated can lead to serious complication.Upper jaw MRONJ is frequently associated with maxillary sinusitis; the disease can spread to other paranasal sinuses.Combined approach is the most reliable procedure to treat odontogenic sinusitis, although MRONJ‐associated sinusitis is considered odontogenic there is no report in literature describing combined approach to treat MRONJ‐induced sinusitis.Buccal fat pad represents the best reconstructive option to close the bony defect.BFPF does not allow rehabilitation through dental implant because it is adipose tissue and not bone tissue. However, guidelines do not recommend implant‐supported prosthetic rehabilitation in patients with history of MRONJ so conventional dental rehabilitation should be carried out.INTRODUCTIONMedication‐related Osteonecrosis of the Jaw (MRONJ) is a rising problem. Current standard treatments include conservative approach, for patients unfit or unwilling to undergo surgery, and open surgery, which is the most effective treatment to eradicate the disease. MRONJ has an easier management and a more favourable outcome when early diagnosed. Therefore, early detection and a consequent diagnosis must be carried out as soon as possible by dental or maxillofacial specialists. Recently, surgical reconstruction with pedicled buccal fat pad has been proposed. MRONJ is known to affect mainly the lower jaw, but in roughly

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

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