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美国口腔颌面外科学会关于药物相关性颌骨坏死的立场文件-2022 更新。

American Association of Oral and Maxillofacial Surgeons' Position Paper on Medication-Related Osteonecrosis of the Jaws-2022 Update.

机构信息

Clinical Professor, Division of Oral and Maxillofacial Surgery, Stony Brook School of Dental Medicine, Hofstra North Shore-LIJ School of Medicine, New York Center for Orthognathic and Maxillofacial Surgery, Lake Success, NY.

Professor and Chair, University of Washington School of Dentistry, Department of Oral and Maxillofacial Surgery, Seattle, Wash.

出版信息

J Oral Maxillofac Surg. 2022 May;80(5):920-943. doi: 10.1016/j.joms.2022.02.008. Epub 2022 Feb 21.

Abstract

Strategies for management of patients with, or at risk for, medication-related osteonecrosis of the jaws (MRONJ) - formerly referred to as bisphosphonate-related osteonecrosis of the jaws (BRONJ)-were set forth in the American Association of Oral and Maxillofacial Surgeons (AAOMS) position papers in 2007, 2009 and 2014. The position papers were developed by a committee appointed by the AAOMS Board of Trustees and comprising clinicians with extensive experience in caring for these patients, as well as clinical and basic science researchers. The knowledge base and experience in addressing MRONJ continues to evolve and expand, necessitating modifications and refinements to the previous position papers. Three members of the AAOMS Committee on Oral, Head, and Neck Oncologic and Reconstructive Surgery (COHNORS) and three authors of the 2014 position paper were appointed to serve as a working group to analyze the current literature and revise the guidance as indicated to reflect current knowledge in this field. This update contains revisions to diagnosis and management strategies and highlights the current research status. AAOMS maintains that it is vitally important for this information to be disseminated to other relevant healthcare professionals and organizations.

摘要

管理接受或有风险接受药物相关性颌骨坏死(MRONJ)——以前称为双膦酸盐相关性颌骨坏死(BRONJ)——的患者的策略,在美国口腔颌面外科学院(AAOMS)2007 年、2009 年和 2014 年的立场文件中有所规定。这些立场文件是由 AAOMS 理事会任命的一个委员会制定的,该委员会由在照顾这些患者方面具有丰富经验的临床医生以及临床和基础科学研究人员组成。处理 MRONJ 的知识库和经验不断发展和扩大,需要对以前的立场文件进行修改和完善。AAOMS 口腔、头部和颈部肿瘤学和重建外科委员会(COHNORS)的三名成员和 2014 年立场文件的三名作者被任命为一个工作组,负责分析当前的文献并进行修订,以反映该领域的当前知识。本更新包含对诊断和管理策略的修订,并突出了当前的研究状况。AAOMS 认为,向其他相关医疗保健专业人员和组织传播这些信息至关重要。

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