COVID-Associated Avascular Necrosis of the Maxilla-A Rare, New Side Effect of COVID-19

J Oral Maxillofac Surg. 2022 Jul;80(7):1254-1259. doi: 10.1016/j.joms.2022.04.015. Epub 2022 May 6.

Abstract

Purpose: The purpose of this article is to present an interesting, rare case of a patient who experienced avascular necrosis of the maxilla associated with COVID-19 infection.

Methods and results: Our team retrospectively evaluated this patient's chart after completion of surgical management. The patient is a 72-year-old male who presented to the University of Texas Health Science Center at Houston for surgical management of his infarcted maxilla, which developed as a sequela of infection with COVID-19. A literature review was completed using PubMed. Twenty-five articles are reviewed and discussed.

Conclusions: Infection with COVID-19 confers a hypercoagulable state in patients, leading to various complications in the head and neck region. In our case report, we present a patient who developed avascular necrosis of the maxilla secondary to infection with COVID-19. Thromboembolic prophylaxis is imperative in COVID-19 patients due to the high rate of potential systemic complications.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • COVID-19*
  • Humans
  • Male
  • Maxilla / surgery
  • Osteonecrosis* / diagnostic imaging
  • Osteonecrosis* / etiology
  • Osteonecrosis* / surgery
  • Retrospective Studies