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Case report highlights nerve-sparing marginal mandibulectomy in oldest-old patients, suggesting effective local disease control.
Background To report the efficacy of a nerve‐sparing surgery for mandibular MRONJ in oldest‐old patients. Case Presentation Two oldest‐old patients with Stage 2 MRONJ underwent a nerve‐sparing marginal mandibulectomy. This technique corresponds to the “edge and nerve preservation with removal of infection” (EGRI) method. In both cases, surgical wounds healed successfully without recurrence, preserving mandibular integrity. Conclusion This nerve‐sparing approach is effective for local disease control, though postoperative neurosensory disturbance remains a complication.
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Kikuta et al. (2025) studied this question.
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