1 0 0 0 OA テリパラチドにより良好な治療結果が得られた広範なビスフォスフォネート関連顎骨壊死の1例
- 著者
- 若林 健 竹内 憲民 楠山 友紀子 山本 汐里 文元 玲子 由良 義明
- 出版者
- 社団法人 日本口腔外科学会
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.61, no.8, pp.424-428, 2015-08-20 (Released:2015-11-24)
- 参考文献数
- 10
- 被引用文献数
- 1 1
We report a case of extensive bisphosphonate-related osteonecrosis of the jaw (BRONJ) associated with a mandibular fracture, which improved after treatment with teriparatide and surgical therapy. An 83-year-old woman was referred to our hospital because of swelling of the submandibular region. At presentation, clinical examination revealed swelling of the right submandibular region and discharge of pus. A computed tomographic (CT) scan confirmed osteolytic changes and a fracture of the mandible. Three months after bone curettage, fixation with a titanic plate, and treatment with teriparatide, new bone formation was observed. Five months after this therapy, the fractured segment had completely healed. Teriparatide may contribute to the improvement of BRONJ.
1 0 0 0 歯ブラシが側咽頭隙へ達した幼児の口腔内穿通性損傷の1例
- 著者
- 今井 智章 道澤 雅裕 清水 英孝 竹内 憲民 濱田 正和 藤田 祐生
- 出版者
- 社団法人 日本口腔外科学会
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.55, no.5, pp.231-235, 2009-05-20
- 被引用文献数
- 2
Children often play with foreign objects such as a toothbrush in their mouths and sustain intraoral lacerations. Rarely, the objects penetrate into the parapharyngeal space and have to be surgically removed in cooperation with other specialties. We report a case of an intraoral penetration injury caused by a toothbrush entering the parapharyngeal space. A 2-year-old girl who was brushing her teeth before bedtime was intraorally impaled with a toothbrush after falling from an indoor jungle gym for infants. The patient was transferred to the emergency room in our hospital. CT scanning showed the toothbrush head near the internal carotid artery in the parapharyngeal space. Antibiotics were intravenously administered, and the foreign body was removed under general anesthesia, followed by wound suturing. The patient was discharged on the 7 day without any complications such as post-traumatic thrombosis of the internal carotid artery or deep neck abscess. It is important to adequately educate parents and their children about the dangers of a toothbrush as a foreign body that can cause serious penetration injuries.