Journal of the Korean Association of Oral and Maxillofacial Surgeons : eISSN 2234-5930 / pISSN 2234-7550

Fig. 1.

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Fig. 1. A 64-year-old female patient; underlying disease: osseous metastasized breast carcinoma; antiresorptive therapy: zoledronate 4 mg every 4 weeks intravenously over 4 years; presentation with unspecific symptoms of the upper jaw (recurrent pain and signs of inflammation) and increased probing depths over 12 months. A, B. Preoperative intraoral findings with probeable bone at first sight (A) and visible bone after carefully pushing back the mucosa (B). C. Intraoperative findings of the necrotic area after subperiosteal preparation: macroscopic marking of the necrosis using a pen after florescence visualization. D. After extracting necrosis-adjacent teeth (#25 and #26), a cone-like necrotic extension in the alveolus up to the maxillary sinus became visible. E. Intraoperative findings after resection of the necrotic bone and smoothing of all bone edges: the maxillary sinus is opened. F. Tension-free wound closure using double-layer closure techniques with a pedicled buccal fat flap. G. The muco-periosteal layer.
J Korean Assoc Oral Maxillofac Surg 2021;47:99~111