Maxillofacial Plastic and Reconstructive Surgery

  • 제35권3호
  • /
  • Pages.174-177
  • /
  • 2013
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

비스포스포네이트 연관 악골 괴사증 환자에서 유경 협부 지방 피판을 이용한 치료

Surgical Management of Bisphosphonate Related Osteonecrosis of the Jaw Using Pedicled Buccal Fat Pad Flap

  • 이장하 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 김민근 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 김성곤 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 박영욱 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 박상욱 (한림대학교 강남성심병원 치과) ;
  • 박영주 (한림대학교 강남성심병원 치과)
  • Lee, Jang-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Min-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Sang-Wook (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital) ;
  • Park, Young-Ju (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital)
  • 투고 : 2013.02.22
  • 심사 : 2013.05.27
  • 발행 : 2013.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a disease characterized by jaw necrosis and delayed wound healing in patients who had received bisphosphonates. Buccal fat pad (BFP) can be used as a pedicled flap in the posterior region of the oral cavity. BFP pedicle flap needs simple surgical technique and it shows less donor site morbidity and aesthetic problem than other vascularized flap. BFP pedicled flap was fed by 3 arteries-facial, internal maxillary, and transverse facial artery. Osteomyelitis was generally related with poor blood supply. Thus, rich blood supply of BFP pedicle flap can have a potential advantage to BRONJ patients. In this case report, we presented 3 BRONJ patients treated by BFP pedicle flap after sequestrectomy.

키워드

참고문헌

  1. Bagan J, Scully C, Sabater V, Jimenez Y. Osteonecrosis of the jaws in patients treated with intravenous bisphosphonates (BRONJ): a concise update. Oral Oncol 2009;45:551-4. https://doi.org/10.1016/j.oraloncology.2009.01.002
  2. Colella G, Campisi G, Fusco V. American association of oral and maxillofacial surgeons position paper: Bisphosphonaterelated osteonecrosis of the Jaws-2009 update: the need to refine the BRONJ definition. J Oral Maxillofac Surg 2009;67:2698-9. https://doi.org/10.1016/j.joms.2009.07.097
  3. Mücke T, Koschinski J, Deppe H, et al. Outcome of treatment and parameters influencing recurrence in patients with bisphosphonate-related osteonecrosis of the jaws. J Cancer Res Clin Oncol 2011;137:907-13. https://doi.org/10.1007/s00432-010-0953-1
  4. Ravosa MJ, Ning J, Liu Y, Stack MS. Bisphosphonate effects on the behaviour of oral epithelial cells and oral fibroblasts. Arch Oral Biol 2011;56:491-8. https://doi.org/10.1016/j.archoralbio.2010.11.003
  5. Samman N, Cheung LK, Tideman H. The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg 1993;22:2-6. https://doi.org/10.1016/S0901-5027(05)80346-7
  6. Dubin B, Jackson IT, Halim A, Triplett WW, Ferreira M. Anatomy of the buccal fat pad and its clinical significance. Plast Reconstr Surg 1989;83:257-64. https://doi.org/10.1097/00006534-198902000-00009
  7. Baumann A, Ewers R. Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg 2000;58:389-92. https://doi.org/10.1016/S0278-2391(00)90919-4
  8. Saif MW. Management of bisphosphonate-related osteonecrosis of the jaw. JOP. J Pancreas (Online) 2009;10:581-2.
  9. Marx RE, Sawatari Y, Fortin M, Broumand V. Bisphosphonateinduced exposed bone (osteonecrosis/osteopetrosis) of the jaws: risk factors, recognition, prevention, and treatment. J Oral Maxillofac Surg 2005;63:1567-75. https://doi.org/10.1016/j.joms.2005.07.010
  10. Zhang HM, Yan YP, Qi KM, Wang JQ, Liu ZF. Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg 2002;109:2509-18. https://doi.org/10.1097/00006534-200206000-00052