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

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Title: Successful radiofrequency thermocoagulation of the mandibular nerve for intractable pain associated with medication-related osteonecrosis of the jaw: a case report
Authors: Sho Shinotsuka, Aiko Maeda, Tomoka Eri, Nozomi Kameyama, Chiaki Yamada, Masako Asada, Ken Yamaura
Source: JA Clinical Reports, Vol 10, Iss 1, Pp 1-4 (2024)
Publisher Information: SpringerOpen, 2024.
Publication Year: 2024
Collection: LCC:Anesthesiology
LCC:Medical emergencies. Critical care. Intensive care. First aid
Subject Terms: Mandibular nerve block, Radiofrequency thermocoagulation, Medication-related osteonecrosis of the jaw, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
More Details: 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.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2363-9024
Relation: https://doaj.org/toc/2363-9024
DOI: 10.1186/s40981-024-00696-2
Access URL: https://doaj.org/article/1ab86f9d9acf4d56bd1fd1fd15063d8a
Accession Number: edsdoj.1ab86f9d9acf4d56bd1fd1fd15063d8a
Database: Directory of Open Access Journals
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  Data: Successful radiofrequency thermocoagulation of the mandibular nerve for intractable pain associated with medication-related osteonecrosis of the jaw: a case report
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  Data: JA Clinical Reports, Vol 10, Iss 1, Pp 1-4 (2024)
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  Data: <searchLink fieldCode="DE" term="%22Mandibular+nerve+block%22">Mandibular nerve block</searchLink><br /><searchLink fieldCode="DE" term="%22Radiofrequency+thermocoagulation%22">Radiofrequency thermocoagulation</searchLink><br /><searchLink fieldCode="DE" term="%22Medication-related+osteonecrosis+of+the+jaw%22">Medication-related osteonecrosis of the jaw</searchLink><br /><searchLink fieldCode="DE" term="%22Anesthesiology%22">Anesthesiology</searchLink><br /><searchLink fieldCode="DE" term="%22RD78%2E3-87%2E3%22">RD78.3-87.3</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+emergencies%2E+Critical+care%2E+Intensive+care%2E+First+aid%22">Medical emergencies. Critical care. Intensive care. First aid</searchLink><br /><searchLink fieldCode="DE" term="%22RC86-88%2E9%22">RC86-88.9</searchLink>
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  Data: 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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      – SubjectFull: Radiofrequency thermocoagulation
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