NUMERO: #20230628

Título: Complete jaw resection for the treatment of bisphosphonate-related osteonecrosis - case report

Nome do Apresentador: Beatriz D´Aquino MARINHO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: The patient searched assistance in 2015 due to jaw pain and a bad smell after he had implants installed. The patient mentioned the use of bisphosphonate (zometa and zoladex) in the past for prostate cancer treatment. On physical examination, it was observed bone exposure, submandibulr swelling, trismus and purulent drainage leading to the diagnosis of bisphosphonate-related osteonecrosis.
The Patient was submitted to an anterior jaw resection and placement of a reconstruction plate but during follow-ups, it evolved with new bone exposures. Multiple debridement under local anesthesia and a marginal resection under general anesthesia were performed, with no success. After a year of minimal invasive managments and a new CT exam showing new areas of necrosis, a full jaw resection and new reconstruction plate was performed, placed on the remaining jaw ramus.
The patient is in the 6 years postoperative period and has evolved well so far with no signs of recurrence.

Autor 1:  Beatriz D´Aquino MARINHO

E-mail 1:  [email protected]

Autor 2:   Déborah Laurindo Pereira Santos

E-mail 2:  [email protected]

Autor 3 :  Miguel Pereira da Mata Santos

E-mail 3:  [email protected]

Autor 4:  Raphael de Marco

E-mail 4:  [email protected]

Autor 5:  Marcelo Silva Monnazzi

E-mail 5:  [email protected]

Autor 6:  Eduardo Hochuli Vieira

E-mail 6:  [email protected]