Medication-Related Osteonecrosis Successfully Treated With Hyperbaric Oxygen Therapy and Conservative Treatment: A Case Report

Medication-related osteonecrosis of the jaws (MRONJ) is a major side effect of the antiresorptive drugs used in treating patients with osteoporosis and cancer. MRONJ appears as prolonged inflammation affecting the maxilla or mandible, with necrotic bone exposure and intraoral and extraoral fistulas. According to previous studies, surgery for this condition is highly beneficial. However, extensive surgical treatment generally overburdens patients with MRONJ, who often already suffer from other diseases such as cancer; therefore, further consideration must be given to their overall condition. Herein, we present the case of an elderly patient with extensive MRONJ who was successfully treated with hyperbaric oxygen therapy and conservative treatment.

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Journal
Cureus
Published
2025-02-18
DOI
https://doi.org/10.7759/cureus.79213
Primary Topic
Bone and Joint Diseases
Type
article
Field-Weighted Citation Impact
0.00

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Medication-Related Osteonecrosis Successfully Treated With Hyperbaric Oxygen Therapy and Conservative Treatment: A Case Report

Yoshinori Kobori, Noritaka Ohga, Aya Yanagawa‐Matsuda, Ken‐ichiro Sakata et al.
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Medication-Related Osteonecrosis Successfully Treated With Hyperbaric Oxygen Therapy and Conservative Treatment: A Case Report

Yoshinori Kobori, Noritaka Ohga, Aya Yanagawa‐Matsuda, Ken‐ichiro Sakata, Tougo Tanabe, Taku Kimura
article en

Abstract

Medication-related osteonecrosis of the jaws (MRONJ) is a major side effect of the antiresorptive drugs used in treating patients with osteoporosis and cancer. MRONJ appears as prolonged inflammation affecting the maxilla or mandible, with necrotic bone exposure and intraoral and extraoral fistulas. According to previous studies, surgery for this condition is highly beneficial. However, extensive surgical treatment generally overburdens patients with MRONJ, who often already suffer from other diseases such as cancer; therefore, further consideration must be given to their overall condition. Herein, we present the case of an elderly patient with extensive MRONJ who was successfully treated with hyperbaric oxygen therapy and conservative treatment.

CureusVol. 17(2)
Sapporo University (JP), Hokkaido University (JP), Sapporo Azabu Neurosurgical Hospital (JP)
Hokkaido University
Good health and well-being
Openalex Percentile: Top 96%
Bone and Joint Diseases
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