Massive osteoradionecrosis of facial bones and soft tissues

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dc.authorwosidKocak, Zafer/AEG-7828-2022
dc.contributor.authorBenlier, E.
dc.contributor.authorAlicioglu, B.
dc.contributor.authorKocak, Z.
dc.contributor.authorYurdakul-Sikar, E.
dc.contributor.authorTop, H.
dc.date.accessioned2024-06-12T10:50:12Z
dc.date.available2024-06-12T10:50:12Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractOsteoradionecrosis (ORN) is one of the most serious and uncommon complications in head and neck irradiation for cancer It is defined as a combination of necrotic soft tissue and bone not being able to heal spontaneously, it demonstrates a general resistance to antibiotics and requires conservative surgical management. Even with modern radiation therapy, its incidence is high v unpredictable and varies between 4-30%. We report on a patient with a huge open cavitation in the cheek, communicating with the mouth and extending to contralateral periodontal gingival and temporal fossa. He had been treated with radiation therapy for naso-pharyngeal cancer 5 years ago and presented with restriction of the opening of the mouth. Osteonecrosis complicated with osteomyelitis was evident in bilateral mandible and maxillary bones and the temporal bone. The ramus of the mandible and zygomatic arc were resected, subtotal maxillectomy was performed and the defect was repaired by a free double island flap from the scapular and parascapular osteocutaneous latissimus dorsi muscle flap supplied by subscapular artery. To our knowledge, this is the most extensive bone and soft tissue destruction due to radiation reported in the literature.en_US
dc.identifier.endpage527en_US
dc.identifier.issn1107-0625
dc.identifier.issn2241-6293
dc.identifier.issue3en_US
dc.identifier.pmid19810150en_US
dc.identifier.scopus2-s2.0-70350048029en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage523en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17901
dc.identifier.volume14en_US
dc.identifier.wosWOS:000270421300026en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherImprimatur Publicationsen_US
dc.relation.ispartofJournal Of Buonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject3D Imagingen_US
dc.subjectJawen_US
dc.subjectOsteoradionecrosisen_US
dc.subjectRadiotherapyen_US
dc.subjectReconstructive Surgical Proceduresen_US
dc.subjectNeck-Cancer Patientsen_US
dc.subjectHyperbaric-Oxygenen_US
dc.subjectReconstructionen_US
dc.subjectHeaden_US
dc.subjectFlapen_US
dc.titleMassive osteoradionecrosis of facial bones and soft tissuesen_US
dc.typeArticleen_US

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