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用双酸盐治疗的患者的整形手术:一个案例系列

Arnaud Gleizal¹, Arnaud Meon², Marc Asselborn³

¹Department of Craniomaxillofacial Surgery, Centre Hospitalier Nord, Avenue Albert Raimond, 42000, Saint-Étienne, France; Université Jean Monnet, 6 Rue Basse des Rives, 42100, Saint-Étienne, France; Department of Craniomaxillofacial Surgery, Hôpital Femme Mère Enfant, 69 Boulevard Pinel, 69500, BRON, LYON, France; Department of Craniomaxillofacial Surgery, Hôpital Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004, LYON, France; Université Claude Bernard Lyon 1, 43 Boulevard du 11 Novembre 1918, 69100, Villeurbanne, France.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|July 17, 2023

概括

在服用双酸盐 (BP) 的患者中,整形手术是可行的. 这一病例系列没有发现与药物相关的骨 (MRONJ) 或复发,这表明手术是一种可行的选择.

科学领域:

口腔和牙面部外科手术
矯正牙科矯正牙科是一種矯正牙科.
药理学药理学是指药理学的学科.

背景情况:

双酸盐 (BP) 通常用于骨质疏松症和其他疾病.
有关BP的使用和口腔手术存在担忧,因为可能存在与药物相关的下巴骨硬化 (MRONJ).
在接受BP治疗的患者中,对正手术结果的数据有限.

研究的目的:

报告六名接受双酸盐治疗的患者的正骨科手术结果.
在这个患者群体中评估骨架手术的安全性和有效性.
为管理接受大口腔手术的BP治疗患者的文献做出贡献.

主要方法:

2009年1月至2020年12月期间,六名接受了整形手术的患者的病例系列.
患者的诊断包括纤维发育不良和骨质疏松症.
四名患者继续接受双酸盐治疗,两名患者因治疗完成而停止治疗;没有采取特定的MRONJ预防措施.

主要成果:

所有六名患者都经历了无事件的手术随访,在第15天的粘膜得到了令人满意的愈合.
在第45天的放射性评估显示,骨完全巩固,没有MRONJ,复发或牙周病的迹象.
患者在手术后保持了稳定的I类闭塞.

结论:

在接受双酸盐治疗的患者中,可以安全地进行正骨科手术.
建议谨慎管理,但双酸盐不再被认为是 ортогнатик手术的绝对禁忌.
这一案例系列支持了BP使用者 ортогнатик手术的可行性和积极结果.

关键词:

双酸二酸盐是什么意思一个子,一个子大和部手术.与药物相关的下巴骨髓缩.在口腔外科手术中.矯正牙科矯正牙科是一種矯正牙科.整形手术整形手术整形手术

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