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Lemierre's syndrome: a fatal forgotten disease
e238
E-Poster Presentation
A comparative study for the long-term stability of simultaneously placed dental implants with autologous bone graft harvested from iliac crest and maxillomandibular bone
Findings: The patient was initially presented with fever, leftsided submandibular, temporal swelling, together with odontalgia, and dysphagia. She was early diagnosed with Lemierre’s syndrome and managed accordingly. Conclusions: Early diagnosis is very crucial for patient suspected with Lemierre’s syndrome and should be treated at early stage with broad-spectrum intravenous antibiotic along with sufficient surgical drainage of purulent collection. Removal of IVJ thrombus, as in this case, could be taken into consideration in order to ease recalcitrant disease. Anticoagulant therapy remains controversial. Lemierre’s syndrome responds well to both medical and surgical treatment. However, it can be fatal if fell from early detection or only receive insufficient treatment.
Y. Kang ∗ , J. Byun, H. Kim, B. Park
http://dx.doi.org/10.1016/j.ijom.2015.08.162
accidents were the overwhelmingly cause. There are 26 patients who without multidisciplinary referred occurred. The most treatment was extraction, and second was fracture. Conclusions: In severe trauma patients, early evaluation of the Oral & Maxillofacial region should be performed importantly. More careful patient management and active multidisciplinary refer were required. http://dx.doi.org/10.1016/j.ijom.2015.08.160
Gyeongsang National University School of Medicine, Department of Oral and Maxillofacial Surgery, Jinju, Republic of Korea Objective: The main purpose of this study is to comparatively analyse the long-term stability of simultaneously placed dental implants with autologous bone grafts harvested from iliac crest and maxillomandibular bone for severely atrophic alveolar ridges. Methods: Thirty-six patients were selected for the present study and all implants were firstly placed in the residual ridges and all harvested autologous bones were mixed with demineralized bone matrix (DBM) before grafting: volumetric ratio was 2/3 of autologous bone and 1/3 of DBM. The patients divided two groups according to the harvesting sites of autologous bones: iliac crests (Group 1, 28 patients) and maxillomandibular bones (MMB) (Group 2, 14 patients). MMB was harvesting bones from chin, mandibular ramus, and/or maxillary tuberosity. Each group was analysed for the long-term clinical outcomes, including the incidence of peri-implantitis and implant failure rate (overall implant survival ratio). Findings and conclusion: Two types of autologous bones according to their donor sites, iliac crest and maxillomandible, showed favourable clinical results with similar long-term implant stability and overall implant survival rate. However, iliac bone grafted group showed increased vertical alveolar bone resorption rate and more frequent periimplantitis prevalence rate than those in MMB grafted group during long-term follow-up period. http://dx.doi.org/10.1016/j.ijom.2015.08.161 Lemierre’s syndrome: a fatal forgotten disease A. Kannaowakun Hatyai Regional Hospital, Oral and Maxillofacial Surgery Division, Songkhla, Thailand Background: Lemierre’s syndrome is a rare but serious illness that usually associates throat infection but scarcely odontogenic infection. In the case of this particular paper, however, both infections were found in addition to thrombosis of the internal jugular vein (IJV) and the subsequent distant septic emboli. Objectives: To review the pathogenesis, clinical presentation, as well as treatment of this disease. Methods: Reported in this paper is a case of an elderly, compromised female with multiple fascial space infection, resulting in development of the rare Lemierre’s syndrome. A review of the relevant literature was also carried out. This involved a search of the Medline database using multiple search terms Lemierre, internal jugular vein thrombosis and particularly management.
Multidisciplinary treatment approach on medication-related osteonecrosis of jaw in oncologic patients treated with intravenous bisphosphonates C ¸ . Karaca 1,∗ , O.T. Köseo˘glu 1 , N. Er 1 , K. Kösemehmeto˘glu 2 , T. Özer 1 , G. Topalo˘glu 1 , D. Uc¸ar 1 1
University of Hacettepe, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey 2 University of Hacettepe, Faculty of Medicine, Department of Medical Pathology, Ankara, Turkey Bisphosphonates are a group of drugs that have been widely used for their antiresoptive, antiangiogenic and antitumoral effects in medical practice. Bisphosphonate-related osteonecrosis of jaw (BRONJ) was firstly reported in 20031 and since then several studies about the definition, the mechanism and the treatment consept of BRONJ have been presented by both American Association of Oral and Maxillofacial Surgeons (AAOMS) and the other task forces. Recently AAOMS have recommended to change the nomenculature BRONJ because of the growing number of osteonecrosis cases associated with other antiresorptive and antiangiogenic therapies. Therefore the term medication-related osteonecrosis of jaw (MRONJ) has been used in the current literature.2 The purpose of this study is to explain the treatment protocol on MRONJ patients in Hacettepe University, Faculty of Dentistry, and Turkey. In this case series, 9 oncologic patients with stage-2 MRONJ treated by multidisciplinary approach including Department of Oral and Maxillofacial Surgery, Internal Medicine, Medical Pathology, Prosthodontics will be presented. It will be discussed the medical regimens, surgical interventions and prosthodontic rehabilitation in MRONJ patients compared with the current literature.
References Marx, R. E. (2003). Pamidronate (Aredia) and zoledronate (Zometa) induced avascular necrosis of the jaws: a growing epidemic. J Oral Maxillofac Surg, 61(September (9)), 1115–1117. Ruggiero, S. L., Dodson, T. B., Fantasia, J., Goodday, R., Aghaloo, T., & Mehrotra, B. (2014). American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw – 2014 update. J Oral Maxillofac Surg, 72(October (10)), 1938–1956. http://dx.doi.org/10.1016/j.joms.2014.04.031
http://dx.doi.org/10.1016/j.ijom.2015.08.163
E-Poster Presentation
A comparative study for the long-term stability of simultaneously placed dental implants with autologous bone graft harvested from iliac crest and maxillomandibular bone
Findings: The patient was initially presented with fever, leftsided submandibular, temporal swelling, together with odontalgia, and dysphagia. She was early diagnosed with Lemierre’s syndrome and managed accordingly. Conclusions: Early diagnosis is very crucial for patient suspected with Lemierre’s syndrome and should be treated at early stage with broad-spectrum intravenous antibiotic along with sufficient surgical drainage of purulent collection. Removal of IVJ thrombus, as in this case, could be taken into consideration in order to ease recalcitrant disease. Anticoagulant therapy remains controversial. Lemierre’s syndrome responds well to both medical and surgical treatment. However, it can be fatal if fell from early detection or only receive insufficient treatment.
Y. Kang ∗ , J. Byun, H. Kim, B. Park
http://dx.doi.org/10.1016/j.ijom.2015.08.162
accidents were the overwhelmingly cause. There are 26 patients who without multidisciplinary referred occurred. The most treatment was extraction, and second was fracture. Conclusions: In severe trauma patients, early evaluation of the Oral & Maxillofacial region should be performed importantly. More careful patient management and active multidisciplinary refer were required. http://dx.doi.org/10.1016/j.ijom.2015.08.160
Gyeongsang National University School of Medicine, Department of Oral and Maxillofacial Surgery, Jinju, Republic of Korea Objective: The main purpose of this study is to comparatively analyse the long-term stability of simultaneously placed dental implants with autologous bone grafts harvested from iliac crest and maxillomandibular bone for severely atrophic alveolar ridges. Methods: Thirty-six patients were selected for the present study and all implants were firstly placed in the residual ridges and all harvested autologous bones were mixed with demineralized bone matrix (DBM) before grafting: volumetric ratio was 2/3 of autologous bone and 1/3 of DBM. The patients divided two groups according to the harvesting sites of autologous bones: iliac crests (Group 1, 28 patients) and maxillomandibular bones (MMB) (Group 2, 14 patients). MMB was harvesting bones from chin, mandibular ramus, and/or maxillary tuberosity. Each group was analysed for the long-term clinical outcomes, including the incidence of peri-implantitis and implant failure rate (overall implant survival ratio). Findings and conclusion: Two types of autologous bones according to their donor sites, iliac crest and maxillomandible, showed favourable clinical results with similar long-term implant stability and overall implant survival rate. However, iliac bone grafted group showed increased vertical alveolar bone resorption rate and more frequent periimplantitis prevalence rate than those in MMB grafted group during long-term follow-up period. http://dx.doi.org/10.1016/j.ijom.2015.08.161 Lemierre’s syndrome: a fatal forgotten disease A. Kannaowakun Hatyai Regional Hospital, Oral and Maxillofacial Surgery Division, Songkhla, Thailand Background: Lemierre’s syndrome is a rare but serious illness that usually associates throat infection but scarcely odontogenic infection. In the case of this particular paper, however, both infections were found in addition to thrombosis of the internal jugular vein (IJV) and the subsequent distant septic emboli. Objectives: To review the pathogenesis, clinical presentation, as well as treatment of this disease. Methods: Reported in this paper is a case of an elderly, compromised female with multiple fascial space infection, resulting in development of the rare Lemierre’s syndrome. A review of the relevant literature was also carried out. This involved a search of the Medline database using multiple search terms Lemierre, internal jugular vein thrombosis and particularly management.
Multidisciplinary treatment approach on medication-related osteonecrosis of jaw in oncologic patients treated with intravenous bisphosphonates C ¸ . Karaca 1,∗ , O.T. Köseo˘glu 1 , N. Er 1 , K. Kösemehmeto˘glu 2 , T. Özer 1 , G. Topalo˘glu 1 , D. Uc¸ar 1 1
University of Hacettepe, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey 2 University of Hacettepe, Faculty of Medicine, Department of Medical Pathology, Ankara, Turkey Bisphosphonates are a group of drugs that have been widely used for their antiresoptive, antiangiogenic and antitumoral effects in medical practice. Bisphosphonate-related osteonecrosis of jaw (BRONJ) was firstly reported in 20031 and since then several studies about the definition, the mechanism and the treatment consept of BRONJ have been presented by both American Association of Oral and Maxillofacial Surgeons (AAOMS) and the other task forces. Recently AAOMS have recommended to change the nomenculature BRONJ because of the growing number of osteonecrosis cases associated with other antiresorptive and antiangiogenic therapies. Therefore the term medication-related osteonecrosis of jaw (MRONJ) has been used in the current literature.2 The purpose of this study is to explain the treatment protocol on MRONJ patients in Hacettepe University, Faculty of Dentistry, and Turkey. In this case series, 9 oncologic patients with stage-2 MRONJ treated by multidisciplinary approach including Department of Oral and Maxillofacial Surgery, Internal Medicine, Medical Pathology, Prosthodontics will be presented. It will be discussed the medical regimens, surgical interventions and prosthodontic rehabilitation in MRONJ patients compared with the current literature.
References Marx, R. E. (2003). Pamidronate (Aredia) and zoledronate (Zometa) induced avascular necrosis of the jaws: a growing epidemic. J Oral Maxillofac Surg, 61(September (9)), 1115–1117. Ruggiero, S. L., Dodson, T. B., Fantasia, J., Goodday, R., Aghaloo, T., & Mehrotra, B. (2014). American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw – 2014 update. J Oral Maxillofac Surg, 72(October (10)), 1938–1956. http://dx.doi.org/10.1016/j.joms.2014.04.031
http://dx.doi.org/10.1016/j.ijom.2015.08.163