Review Article

The Therapeutic Effectiveness Using Fluorescence-Guided Surgery for MRONJ

Table 1

Basic information of studies reporting on fluorescence-guided surgery for MRONJ.

AuthorStudy typeNo.of casesNo. of lesionsClinical-stagePrimary disease (no. of cases)Medication history (no. of cases)Fluorescence detection technology(no. of cases)Intraoperative fluorescenceHistological verification

Pautke et al., [14]N-RCT1520II-IIIMalignant tumor (15)Bisphosphonates (15)Tetracycline fluorescence, with preoperative doxycycline oral labelingNo or weak fluorescence in necrotic boneNo
Assaf et al., [13]N-RCT2023I-IIIMalignant tumor (18), osteoporosis (2)Bisphosphonates (20)Tetracycline fluorescence, with preoperative doxycycline oral labelingNo fluorescence in necrotic boneYes
Otto et al., [12]N-RCT54650-IIIMalignant tumor (45), osteoporosis (9)Bisphosphonates (47), denosumab (3), bisphosphonates & denosumab (4)Tetracycline fluorescence, with preoperative doxycycline oral labelingNo or weak fluorescence in necrotic boneNo
Ristow et al., [16]RCTs4051I - IIIMalignant tumor (34), osteoporosis (6)Bisphosphonates (32), bisphosphonates & denosumab (8)Tetracycline fluorescence (20), with preoperative tetracycline oral labeling; autofluorescence (20), no oral tetracycline before the operationNo or weak fluorescence in necrotic bone in two types of different fluorescence detection equipmentYes
Giudice et al., [15]RCT3639I-IIIMalignant tumor (23), osteoporosis (13)Bisphosphonates (30), denosumab (5), bisphosphonate & denosumab (1)Autofluorescence (18), no oral tetracycline before operation; traditional surgery (18)No fluorescence in necrotic boneYes
Otto et al., [11]N -RCT75820-IIIMalignant tumor (65), osteoporosis (10)Bisphosphonates (51), denosumab (15), bisphosphonates & denosumab (9)Autofluorescence (18), no oral tetracycline before operationNo fluorescence in necrotic boneNo