Osteoradionecrosis of Jaw in Head and Neck Cancer Patient Treated with Free Iliac Bone and Umbilical Fat Pad Graft / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
;
: 62-66, 2014.
Article
in English
| WPRIM
| ID: wpr-45744
ABSTRACT
Osteoradionecrosis is one of the most serious complications of patients receiving radiation therapy. It is characterized by hypovascularity, hypocellularity, and hypoxia-inducing necrosis of bone and soft tissue following delayed healing. In this case, a 72-year-old man was referred to the Department of Oral and Maxillofacial Surgery complaining of trismus following extraction three months before first visit. He had a history of right tonsillectomy, radical neck dissection and radiotherapy performed due to right tonsillar cancer seven years prior. After the diagnosis of osteoradionecrosis on right mandibular body and angle, conservative antibiotic therapy was used first, but an orocutaneous fistula gradually formed, and extensive bony destruction and sequestrum were observed. Sequestrectomy, free particulated iliac bone and umbilical fat pad graft were performed via a submandibular approach under general anesthesia. Preoperative regular exams and delicate wound care led to secondary healing of the wound without vascularized free flap reconstruction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoradionecrosis
/
Neck Dissection
/
Radiotherapy
/
Surgery, Oral
/
Tonsillectomy
/
Trismus
/
Wounds and Injuries
/
Tonsillar Neoplasms
/
Adipose Tissue
/
Transplants
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Maxillofacial Plastic and Reconstructive Surgery
Year:
2014
Type:
Article
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