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OSTEORADIONECROSIS ON MANDIBLE : A CASE REPORT AND LITERATURE REVIEW  

Park, Jin-Hyuk (Department of Oral & Maxillofacial Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Shin, Sun-Ho (Department of Oral & Maxillofacial Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Lee, Su-Woon (Department of Oral & Maxillofacial Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Kim, Woo-Hyung (Department of Oral & Maxillofacial Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.32, no.5, 2006 , pp. 458-463 More about this Journal
Abstract
The osteoradionecrosis of the mandible can be a serious complication of radiotherapy for malignancies of the head and neck. The cause and pathogenesis of osteoradionecrosis are unclear and anecdotal. There are various treatment-, patient- and tumor-related risk factors on development of osteoradionecrosis. The treatment of osteoradionecrosis relies on conservative measures (antibiotics, debridement, irrigation and HBO) and surgical measures (sequestrectomy, marginal resection and segmental resection with or without reconstruction). But the indications are not defined. We present the two cases of patients who were not controlled by conservative treatment but good-resulted by surgical treatment.
Keywords
Osteoradionecrosis; Mandible; Pathogenesis; Treatment;
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