An 84-Year-Old Man with a History of Myeloma and Biphosphonate-Related Osteonecrosis of the Jaw Treated with Preoperative Vascular Embolization Before Partial Maxillectomy

被引:0
作者
Taketomi, Takaharu [1 ,2 ,3 ]
Fukuda, Takao [4 ]
Nojiri, Junichi [5 ,6 ]
Sanui, Terukazu [4 ]
机构
[1] St Marys Hosp, Dept Dent & Oral Surg, Kurume, Fukuoka, Japan
[2] Kurume Univ, Dent & Oral Med Ctr, Sch Med, Kurume, Fukuoka, Japan
[3] Takagi Hosp, Dept Dent & Oral Surg, Okawa, Fukuoka, Japan
[4] Kyushu Univ, Fac Dent Sci, Dept Periodontol, Div Oral Rehabil, Fukuoka, Fukuoka, Japan
[5] Takagi Hosp, Dept Radiol, Okawa, Fukuoka, Japan
[6] Fac Med, Dept Radiol, Saga, Saga, Japan
关键词
Computed Tomography Angiography; Multiple Myeloma; Embolization; Therapeutic; Osteonecrosis; MEDICATION-RELATED OSTEONECROSIS; EXTERNAL CAROTID-ARTERY; MANAGEMENT; LIGATION;
D O I
10.12659/AJCR.943807
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Rare disease Background: Bisphosphonates and anti-receptor activator of nuclear factor kappa B antibodies are used to treat bone diseases associated with increased osteoclast activity, including myeloma. However, they can cause osteonecrosis of the jaw, known as medication-related osteonecrosis of the jaw. This report presents a case of a patient with a history of myeloma who required posterior maxilla resection for bisphosphonate-related osteonecrosis of the jaw, in which preoperative embolization prevented unexpected bleeding related to vascular injury and allowed for a safe procedure with minimal bleeding. Case Report: An 84-year-old man presented to our department with a 3-year history of purulent drainage and bone exposure in the right maxilla. Based on the clinical findings at the initial visit, the clinical diagnosis was bisphosphonate-related osteonecrosis of the jaw, and the patient underwent a partial right maxillary osteotomy. This surgery was associated with a risk of unexpected bleeding from a branch of the maxillary artery during the posterior maxilla resection. A catheter-based embolization of the maxillary artery was performed the day before performing a partial maxillectomy to avoid unexpected bleeding risk. Thus, no abnormal bleeding occurred during partial maxillectomy, and no postoperative complications occurred for 3 years. Conclusions: In the surgical treatment of medication-related osteonecrosis of the jaw, preoperative vascular embolization of the peripheral maxillary artery beyond the middle meningeal artery bifurcation is a valuable technique for safe maxillectomy involving the posterior maxilla.
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页数:7
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共 25 条
  • [1] Bisphosphonate-related osteonecrosis of the jaw (BRONJ): run dental management designs and issues in diagnosis
    Campisi, G.
    Di Fede, O.
    Musciotto, A.
    Lo Casto, A.
    Lo Muzio, L.
    Fulfaro, F.
    Badalamenti, G.
    Russo, A.
    Gebbia, N.
    [J]. ANNALS OF ONCOLOGY, 2007, 18 : 168 - 172
  • [2] Can Surgical Management Improve Resolution of Medication-Related Osteonecrosis of the Jaw at Early Stages? A Prospective Cohort Study
    Giudice, Amerigo
    Barone, Selene
    Diodati, Federica
    Antonelli, Alessandro
    Nocini, Riccardo
    Cristofaro, Maria Giulia
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2020, 78 (11) : 1986 - 1999
  • [3] Preoperative embolization of hypervascular head and neck tumours
    Gupta, A. K.
    Purkayastha, S.
    Bodhey, N. K.
    Kapilamoorthy, T. R.
    Kesavadas, C.
    [J]. AUSTRALASIAN RADIOLOGY, 2007, 51 (05): : 446 - 452
  • [4] Gupta M, 2024, Bisphosphonate related jaw osteonecrosis. StatPearls. Treasure Island (FL) ineligible companies
  • [5] Infection and Medication-related Osteonecrosis of the Jaw
    Katsarelis, H.
    Shah, N. P.
    Dhariwal, D. K.
    Pazianas, M.
    [J]. JOURNAL OF DENTAL RESEARCH, 2015, 94 (04) : 534 - 539
  • [6] External Carotid Artery Ligation in Squamous Cell Carcinomas of the Oral Cavity and Oropharynx: an Oncological Emergency
    Kumar, Tarun
    Yadav, Vijay
    Ravi, K.
    Ramaswamy, Kartikeyan
    Patel, Mahesh H.
    Kothari, Kiran
    [J]. INDIAN JOURNAL OF SURGERY, 2015, 77 : S850 - S852
  • [7] Association between periodontal disease, tooth extraction, and medication-related osteonecrosis of the jaw in women receiving bisphosphonates: A national cohort-based study
    Kwoen, Min-Jeong
    Park, Jung-Hyun
    Kim, Keun-Suh
    Lee, Jae-Ryun
    Kim, Jin-Woo
    Lee, HyeJin
    Lee, Hyo-Jung
    [J]. JOURNAL OF PERIODONTOLOGY, 2023, 94 (01) : 98 - 107
  • [8] Bisphosphonate-related osteonecrosis of the jaw in a multiple myeloma patient: A case report with characteristic radiographic features
    Lee, Byung-Do
    Park, Moo-Rim
    Kwon, Kyung-Hwan
    [J]. IMAGING SCIENCE IN DENTISTRY, 2015, 45 (03) : 199 - 203
  • [9] CASE FOR LIGATION OF EXTERNAL CAROTID-ARTERY IN COMPOSITE OPERATIONS FOR ORAL CARCINOMA
    MARTIS, C
    [J]. INTERNATIONAL JOURNAL OF ORAL SURGERY, 1978, 7 (02): : 95 - 99
  • [10] Transcatheter Arterial Embolization (TAE) of Cancer-Related Bleeding
    Minici, Roberto
    Guzzardi, Giuseppe
    Venturini, Massimo
    Fontana, Federico
    Coppola, Andrea
    Spinetta, Marco
    Piacentino, Filippo
    Pingitore, Armando
    Serra, Raffaele
    Costa, Davide
    Ielapi, Nicola
    Guerriero, Pasquale
    Apollonio, Biagio
    Santoro, Rita
    MGJR Res Team, Domenico
    Brunese, Luca
    Lagana, Domenico
    [J]. MEDICINA-LITHUANIA, 2023, 59 (07):