Tratamientos quirúrgicos de la osteonecrosis de los maxilares relacionada con medicamentos: ventajas y limitaciones
DOI:
https://doi.org/10.33448/rsd-v12i4.41161Palabras clave:
Osteonecrosis; Osteonecrosis de los maxilares asociada a difosfonatos; Procedimientos quirúrgicos orales; Enfermedades maxilomandibulares.Resumen
Objetivo: El objetivo de este trabajo es discutir los métodos quirúrgicos disponibles para el tratamiento de la MRONJ, señalando sus ventajas y limitaciones. Metodología: Se realizó una revisión integradora de la literatura mediante una búsqueda realizada en la base de datos virtual PubMed, utilizando el término MeSH "bisphosphonate associated osteonecrosis of the jaw/surgery" e incluyendo 26 publicaciones. Resultados: La intervención quirúrgica es una opción de tratamiento que busca reducir la progresión de la enfermedad, y que puede predecir resultados beneficiosos. Los abordajes quirúrgicos confieren resultados superiores a los regímenes terapéuticos conservadores, con tasas de éxito del 80-90% y del 10-62%, respectivamente. Para instaurar el tratamiento, debe tenerse en cuenta la eliminación del hueso necrótico, realizada mediante curetaje, sequestrectomía y resección quirúrgica. Para el abordaje de los tejidos blandos, pueden realizarse diferentes colgajos. Conclusión: El tratamiento quirúrgico demostró el mantenimiento de la cobertura de la mucosa, la mejora de la calidad de vida y el rápido retorno de la terapia antirreabsortiva para todos los estadios de la enfermedad, presentando elevadas tasas de éxito terapéutico. Por lo tanto, se deben estimar los esfuerzos de investigación del mejor tratamiento para esta patología.
Citas
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Derechos de autor 2023 Nicole Serqueira da Silva ; Susana Braga Santoro Santiago; Daniel Neto Campos; Livia Cristina Buriche Ferreira da Silva; Juliana Lima de Oliveira Amorim Cabral ; Emanuel Mendes Sousa ; Inger Teixeira de Campos Tuñas
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