›› 2019, Vol. 39 ›› Issue (3): 240-245.

• Case Analysis • Previous Articles     Next Articles

Retrospective analysis of the rare complication of osteonecrosis of the jaw associated with trigeminal herpes zoster

  

  • Received:2018-09-21 Revised:2018-12-05 Online:2019-03-28 Published:2019-03-22

Abstract: Objective To summarize the pathogenesis features and clinical manifestations of osteonecrosis of the jaw associated with trigeminal herpes zoster and to provide scientific basis for the correct diagnosis and treatment through retrospective analysis. Methods Four cases were collected in the Department of Oral Surgery, Shanghai Ninth People's Hospital from 2011 to 2016 and 52 cases were collected from literatures. Then the retrospective analysis was conducted. Results The complication occurred mostly in middle-aged and elderly patients, with an age range of 6 to 86 and an average age of 54. These cases included 28 males and 19 females. The lesion could affect either the second (23 cases) or the third branch (23 cases) of the trigeminal nerve, or both (7 cases). 6 cases were complicated by HIV, 8 by malignant tumors. Conclusions Osteonecrosis of the jaw associated with trigeminal herpes zoster has a low incidence. Comprehensive consideration of its pathogenesis features and clinical manifestations can help to diagnose and treat it. For patients with cheek herpes zoster, it is advisable to treat them as soon as possible and to check for the presence of systemic diseases in order to prevent serious oral complications.

Key words: herpes zoster, trigeminal nerve, osteonecrosis of the jaw, complication

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