{"title":"Application of navigation system during surgery for medication-related osteonecrosis of the jaw.","authors":"Yuri Takeda, Yuka Iwamae, Shizu Saito, Yushi Ezoe, Shinnosuke Nogami, Kensuke Yamauchi","doi":"10.5125/jkaoms.2025.51.3.174","DOIUrl":null,"url":null,"abstract":"<p><p>In recent years, surgical navigation systems have shown remarkable development and allow real-time navigation of the surgical field, including locations of anatomical structures and lesions. This ability allows procedures to be performed with a high degree of accuracy. In cases of medication-related osteonecrosis of the jaw (MRONJ), proper removal of sequestrum or necrotic bone is essential for postoperative healing. However, the boundary between necrotic and healthy bone is difficult to determine in preoperative images, and there are no clear standards regarding the extent of bone resection for MRONJ. Reported here are findings associated with surgical navigation for MRONJ to determine the extent of bone resection in real time. The technique is reliable for removal of necrotic bone and provides a better understanding of the extent of resection required.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"51 3","pages":"174-179"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223440/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5125/jkaoms.2025.51.3.174","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
In recent years, surgical navigation systems have shown remarkable development and allow real-time navigation of the surgical field, including locations of anatomical structures and lesions. This ability allows procedures to be performed with a high degree of accuracy. In cases of medication-related osteonecrosis of the jaw (MRONJ), proper removal of sequestrum or necrotic bone is essential for postoperative healing. However, the boundary between necrotic and healthy bone is difficult to determine in preoperative images, and there are no clear standards regarding the extent of bone resection for MRONJ. Reported here are findings associated with surgical navigation for MRONJ to determine the extent of bone resection in real time. The technique is reliable for removal of necrotic bone and provides a better understanding of the extent of resection required.
期刊介绍：
Journal of the Korean Association of Oral and Maxillofacial Surgeons (J Korean Assoc Oral Maxillofac Surg) is the official journal of the Korean Association of Oral and Maxillofacial Surgeons. This bimonthly journal offers high-quality original articles, case series study, case reports, collective or current reviews, technical notes, brief communications or correspondences, and others related to regenerative medicine, dentoalveolar surgery, dental implant surgery, head and neck cancer, aesthetic facial surgery/orthognathic surgery, facial injuries, temporomandibular joint disorders, orofacial disease, and oral pathology. J Korean Assoc Oral Maxillofac Surg is of interest to oral and maxillofacial surgeons and dental practitioners as well as others who are interested in these fields.
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