Necrotizing fasciitis secondary to bisphosphonate-induced osteonecrosis of the jaw
Received 16 July 2008 published online 27 March 2009.
Abstract
Osteonecrosis of the jaw is an uncommon consequence of biphosphonate therapy. This has most commonly been a bone complication with little if any soft tissue involvement. An unusual case of necrotizing fasciitis with extensive soft tissue infection stemming from a prolonged case of osteonecrosis of the jaw presented. The management of this patient (aggressive surgical debridement and prolonged wound care) is reviewed as well as the review of the underlying processes.
aDepartment of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
bTexas Tech University Health Sciences Center, Amarillo, TX, USA
Corresponding author. Department of Otorhinolaryngology, Head and Neck Surgery, University of Oklahoma Medical Center, 920 Stanton L. Young, WP 1290, Oklahoma City, OK 73190, USA. Tel.: +1 405 271 5504; fax: +1 405 271 3248.