Bisphosphonate associated osteonecrosis: an unusual case.
The management of bisphosphonate associated osteonecrosis of the jaws (bisphosphonate associated ONJ) is emerging as a significant problem in the field of dentistry and oral and maxillofacial surgery. We present a case of a 55-year-old female taking oral bisphosphonates, steroids and immunosuppressant agents presenting with a life-threatening neck swelling. We discuss management options, as well as recent guidelines for treatment.
Mehanna
P
P
Department of Oral and Maxillofacial Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia. drpmehanna@hotmail.com
Goddard
R
R
D000038:Abscess / Q000209:etiology; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D050071:Bone Density Conservation Agents / Q000009:adverse effects*; D004164:Diphosphonates / Q000009:adverse effects*; D004322:Drainage; D004890:Erythema / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008336:Mandibular Diseases / Q000139:chemically induced*; D008875:Middle Aged; D009333:Neck / Q000382:microbiology; D010020:Osteonecrosis / Q000139:chemically induced*; D012008:Recurrence; D013492:Suppuration
D000305:Adrenal Cortex Hormones; D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D007166:Immunosuppressive Agents