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@article{1803319,
author = {Peřina, Vojtěch and Salzman, Richard and Treglerová, Jana},
article_location = {THOUSAND OAKS},
doi = {http://dx.doi.org/10.1177/01455613211053389},
keywords = {osteonecrosis; surgical treatment; denosomab; auditory canal; ear},
language = {eng},
issn = {0145-5613},
journal = {ENT-EAR NOSE & THROAT JOURNAL},
title = {Denosumab-related osteonecrosis of the external auditory canal-benefit of the early surgical management},
url = {https://doi.org/10.1177/01455613211053389},
year = {2024}
}
TY - JOUR
ID - 1803319
AU - Peřina, Vojtěch - Salzman, Richard - Treglerová, Jana
PY - 2024
TI - Denosumab-related osteonecrosis of the external auditory canal-benefit of the early surgical management
JF - ENT-EAR NOSE & THROAT JOURNAL
PB - SAGE PUBLICATIONS INC
SN - 01455613
KW - osteonecrosis
KW - surgical treatment
KW - denosomab
KW - auditory canal
KW - ear
UR - https://doi.org/10.1177/01455613211053389
N2 - Background: Antiresorptive drugs are widely used to reduce bone mineral loss in patients with osteoporosis and to prevent skeletal-related events in patients with metastatic cancers and multiple myeloma (MM). Both the bisphosphonates (BP) and denosumab typically used in this indication were shown to be effective and relatively safe. Obviously, this medication could have some adverse effects; one of them is osteonecrosis of the external auditory canal. Only sporadic cases of external auditory canal osteonecrosis have been published yet. Here, we provide a case of denosumab-related osteonecrosis of the external auditory canal successfully treated surgically in the early stage of the disease. Case report: A 68-year-old patient with breast cancer underwent comprehensive oncological treatment, including denosumab administration. She was diagnosed with osteonecroses in the jaw and ear canal. The necrotic bones in both regions were resected with primary wound closure. Both affected sites healed well with no signs of necrosis recurrence. Conclusions: Osteonecrosis of the external auditory canal is a rare but probably underdiagnosed complication of antiresorptive medication. It has a negative impact on patient quality of life if left untreated. Early surgical treatment appears to be effective. The authors highlight several similarities with medication-related osteonecrosis of the jaw. Therefore, an analogous disease staging and treatment rationale is suggested.
ER -
PEŘINA, Vojtěch, Richard SALZMAN a Jana TREGLEROVÁ. Denosumab-related osteonecrosis of the external auditory canal-benefit of the early surgical management. \textit{ENT-EAR NOSE \&{} THROAT JOURNAL}. THOUSAND OAKS: SAGE PUBLICATIONS INC, 2024, 5 s. ISSN~0145-5613. Dostupné z: https://dx.doi.org/10.1177/01455613211053389.
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