Successful radiofrequency thermocoagulation of the mandibular nerve for intractable pain associated with medication-related osteonecrosis of the jaw: a case report.

Pub Date : 2024-02-13 DOI:10.1186/s40981-024-00696-2

Sho Shinotsuka, Aiko Maeda, Tomoka Eri, Nozomi Kameyama, Chiaki Yamada, Masako Asada, Ken Yamaura

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Abstract

Background: Bisphosphonates may cause serious adverse events, including osteonecrosis of the jaw. This article describes a case of successful application of radiofrequency thermocoagulation for pain caused by osteonecrosis of the jaw.

Case presentation: An 86-year-old woman who had received alendronate sodium hydrate for osteoporosis was diagnosed with osteonecrosis of the right mandible after dental treatment. Despite repeated conservative and debridement treatments, the patient could not eat due to intractable pain; accordingly, her condition was debilitated. The patient was referred to our pain management clinic for radiofrequency thermocoagulation of the right mandibular nerve. Immediately after the procedure, her pain drastically improved and she could eat; moreover, the pain has not recurred for 3 years.

Conclusion: Our findings demonstrate that minimally invasive radiofrequency thermocoagulation may have long-term effects in patients with chronic pain caused by osteonecrosis of the jaw that is refractory to conservative treatment.

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下颌神经射频热凝术成功治疗药物性下颌骨骨坏死引起的顽固性疼痛：病例报告。

背景：双膦酸盐可能导致严重的不良反应，包括颌骨坏死。本文描述了一例成功应用射频热凝治疗颌骨坏死引起的疼痛的病例：一名 86 岁的妇女因骨质疏松症接受阿仑膦酸钠水合物治疗，在牙科治疗后被诊断为右下颌骨骨坏死。尽管经过反复的保守治疗和清创治疗，但患者仍因疼痛难忍而无法进食；因此，她的病情十分衰弱。患者被转诊到我们的疼痛治疗诊所，接受了右下颌神经射频热凝术。术后，她的疼痛立即得到了明显改善，并能进食；此外，疼痛已持续 3 年未复发：我们的研究结果表明，微创射频热凝术对保守治疗无效的下颌骨骨坏死引起的慢性疼痛患者有长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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