Bifosfonat Kullanımına Bağlı Maksillada Osteonekroz: Olgu Sunumu
Bifosfonatlar meme, prostat ve akciğer kanserlerine bağlı gelişen hiperkalseminin ve multipl myelomaya bağlı metastatik osteolitik lezyonların tedavisinde yaygın olarak kullanılmaktadır. Bifosfonatların en önemli yan etkilerinden biri mandibula ve maksillada yaptığı osteonekrozdur. Bu makalede, yaklaşık 6 ay önce sol üst 2. molar diş çektirme öyküsü olan, muayenesinde oroantral fistül tespit edilen ve kemik metastazı yapmış prostat kanseri nedeniyle bifosfonat kullanan 64 yaşında erkek hasta sunuldu.
Maxillary Osteonecrosis Related to Bisphosphonate Use: A Case Report
Bisphosphonates are widely used in the treatment of hypercalcemia associated with breast, prostate or lung cancer and the metastatic osteolytic lesions of multiple myeloma. One of the most significant side effects of bisphosphonates is the occurrence of osteonecrosis of the maxilla and the mandible. In this case report, we presented a 64 year-old male patient who was receiving bisphosphonates for bone metastasis of prostate cancer with a history of approximately six months ago left upper second molar extraction and a physical examination finding of oroantral fistula.
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