Pathological fracture of mandible due to osteoradionecrosis

Pandey, Rajeev; Gupta, Rajat; Bhagat, Nitin; Tripathi, Suchismita

doi:10.4103/urjd.urjd_35_16

Cited by 1 publication

(3 citation statements)

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“…(Fig. 1,2) Osteoradionecrosis can be seen after radiotherapy in head and neck cancers (13). There is no consensus in the literature about how long after radiotherapy osteoradionecrosis can be seen.…”

Section: Casementioning

confidence: 99%

“…According to the accepted definition in the literature, osteoradionecrosis is defined as a condition in which the irradiated bone is exposed through the wound and continues without healing for 3-6 months (11,12). Oral and systemic manifestations of osteoradionecrosis can be seen in the irradiated bone as a result of many etiological factors such as tooth extraction, chronic infection and surgical treatment (10,13). These clinical findings can be listed as chronic pain, numbness, trismus, dysphagia, orocutaneous fistula and systemic infections (14).…”

Section: Introductionmentioning

confidence: 99%

“…applying a plate(13,20). Gassner et al applied a plate after resection and used a latissimus dorsi flap for the soft tissue defect(7).In stage III and stage IV cancer cases, palliative treatment is performed as the patients cannot tolerate the surgical procedure.…”

mentioning

confidence: 99%

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Mandible Fracture After Radiotherapy: Case Report

Ayrancı

AKPINAR

2022

Middle Black Sea Journal of Health Science

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Oral cancers are among the most common types of cancer. About 90% of oral cancers are squamous cell carcinoma. The prognosis in oral squamous cell carcinomas differs depending on the treatment and the size of the lesion. Marginal resection, radiotherapy and chemotherapy are the treatment options for squamous cell carcinomas. Although radiotherapy is an effective treatment option in head and neck cancers, it is known to cause some complications. In this case report, mandibular fracture after radiotherapy is presented. A 77-year-old female patient who was treated at the medical oncology clinic with the diagnosis of oral squamous cell carcinoma was referred to our clinic for pathological mandibular fracture and extraoral fistula caused by radiotherapy. As a result of intraoral and radiological examination, it was observed that the ramus was exposed due to pathological fracture in the right mandible corpus region. After the necessary antimicrobial washing in the mouth, sequestrotomy was performed. The patient who underwent palliative treatment died 2 months later. A detailed evaluation should be made before oral surgery in patients with a history of radiotherapy from the head and neck region. Necessary precautions should be taken against the possible risk of osteoradionecrosis.

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Section: Casementioning

confidence: 99%