Reconstruction using a facial artery musculomucosal flap technique after removal of necrotic bone in the anterior areas in medication-related osteonecrosis of the jaw: A technical note

被引：1
作者：
Myoken, Yoshinari [1 ,4 ]
Kawamoto, Takeshi [2 ]
Fujita, Yoshinori [1 ]
Yanamoto, Souichi [3 ]
机构：
[1] Hiroshima Red Cross & Atom Bomb Survivors Hosp, Dept Oral Surg, Senda Machi 1-9-6,Naka Ku, Hiroshima, Hiroshima 7300052, Japan
[2] Hiroshima Univ, Writing Ctr, Kagamiyama 1-3-2, Hiroshima, Hiroshima 7398511, Japan
[3] Hiroshima Univ Hosp, Dept Clin Engn, 1-2-3 Kasumi,Minami Ku, Hiroshima, Hiroshima 7340037, Japan
[4] Hiroshima Red Cross & Atom bomb Survivors Hosp, Dept Oral Surg, Senda Machi,Naka Ku, Hiroshima 7300052, Japan
来源：
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY MEDICINE AND PATHOLOGY | 2023年 / 35卷 / 04期
关键词：
Osteonecrosis; Reconstruction; Facial artery musculomucosal flap; SURGICAL-TREATMENT;
D O I：
10.1016/j.ajoms.2022.12.005
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
The purpose of this study was to evaluate the outcomes of 7 patients with stage 2 or 3 medication-related osteonecrosis of the jaw (MRONJ) in an anterior area who were treated using a facial artery musculomucosal (FAMM) flap after necrotic-bone removal. Superiorly based FAMM flaps were used for maxillary defects in 4 patients while inferiorly based FAMM flaps were used for mandibular defects in 3 patients. Successful wound healing was defined as maintenance of full mucosal coverage without signs of infection at 6 months postoperatively. The follow-up periods ranged from 7 to 27 months (average: 16.8 months). Wound healing during the follow-up period was successful in all patients (100 % success rate). Despite the limited number of cases, our experience shows that a FAMM flap is an effective surgical option for well-vascularized wound-healing of exposed bone in patients with stage 2 or stage 3 MRONJ in anterior areas of the jaw.
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收藏
页码：353 / 357
页数：5
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