[Current treatment of osteoradionecrosis].

Abstract

Conventional treatment of osteoradionecrosis of mandible is by antibiotics combined if necessary with a hemimandibulectomy. A method is proposed which reduces bone excision to infected and necrotic tissue while respecting mandibular continuity. The bone remaining is covered by a flap taken from a distant region. Five cases treated in this way are reported. When mandibular continuity has to be interrupted to suppress infected foci, immediate repair is performed using an osteo-musculo-cutaneous flap, and six cases treated by this method are reported. A part from their mechanical covering and reconstructing roles these well vascularized flaps improve vitality of tissues they enclose, including the mandibular bone.

• Authors: J P Lagier, J L Blanc, A Lachard, F Cheynet, P Rakotobe, J Lachard
• Journal: Revue de stomatologie et de chirurgie maxillo-faciale (Rev Stomatol Chir Maxillofac) Vol. 87 Issue 5 Pg. 311-4 ( 1986) ISSN: 0035-1768 [Print] France
• Vernacular Title: Le traitement actuel de l'ostéoradionécrose.
• PMID: 3467411 (Publication Type: English Abstract, Journal Article)

Chemical References

• Metronidazole
• Penicillin G

Topics

• Combined Modality Therapy
• Drug Therapy, Combination
• Humans
• Mandible (surgery)
• Mandibular Diseases (therapy)
• Metronidazole (administration & dosage)
• Osteoradionecrosis (therapy)
• Penicillin G (administration & dosage)
• Premedication
• Radiation Injuries (therapy)
• Surgical Flaps