日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
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抜歯を契機に上下顎骨に広範囲に発生した薬剤関連顎骨壊死(MRONJ)に対し外科的治療を施行した1例
渡邊 裕加足立 健山田 聡下里 剛史村上 翔子野井 将大越沼 伸也山本 学
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2017 年 30 巻 3 号 p. 295-299

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In this study, we report a case of a patient with medication-related osteonecrosis of the jaw (MRONJ) with maxillary sinusitis. The patient was successfully evaluated using 99mTc-bone scintigraphy combined with panoramic radiography and computed tomography, enabling early diagnosis and surgical treatment. The inflammation was limited to the maxillary antrum at the bottom of the jawbone and mandibular bone; therefore, we performed sequestrectomy for the maxilla and mandibular bone. As a result, the patient is now at postoperative 1 year and 8 months and the course remains good. We adopted imaging techniques to positively determine the treatment strategy for this MRONJ case, and we will repeat this approach depending on clinical conditions to further examine outcomes in future.
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© 2017 日本口腔診断学会
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