Microsurgical Reconstruction with Free Osteocutaneous Fibular Flap for Mandibular Osteoradionecrosis with Pathological Fracture: A Case Report-Juniper-Publishers
Juniper Online Journal of Orthopedic & Orthoplastic Surgery Introduction Osteoradionecrosis is the long term and most serious side of radiotherapy. The definition of osteoradionecrosis is generally accepted as presence of exposed bone in an irradiated field, which fails which to heal within a three-month a period [ 1 ]. Treatment of osteoradionecrosis is a challenging problem. There is a variety of treatment options and no universal approach to management, as this depends on institutional or individual experiences. Early case of osteoradionecrosis treated with hyper baric oxygen therapy, antibiotics, tocopherol and pentaxyphyllin [ 2 ]. Conservative debridement may be necessary to remove spicules of devitalised bone particularly if the adjacent tongue is abraded. Patients who have osteoradionecrosis are traditionally treated with HBO alone or combined with debridement. Segmental mandibulectomy and reconstruction are necessary in patient with severe ost...
