Asynchronous osteoradionecrosis of the mandible treated with sequential fibula osteoseptocutaneous flaps: a report of two cases.

Abstract:

:Osteroradionecrosis of the mandible is one of the most serious complications of radiotherapy in head and neck cancer. Once osteoradionecrosis of the mandible has been established, conservative therapy is often useless. Two cases of asynchronous bilateral osteoradionecrosis of the mandible are presented. In both cases, successful reconstruction was performed with 2 free fibula osteoseptocutaneous flap transfers from both legs. We believe that adequate debridement, with removal of dead or hypovascular bone and surrounding soft tissue, followed by vascularized composite bone grafts, is the key for a successful outcome. In our cases, the oral function after 2 reconstructive surgeries with the fibula osteoseptocutaneous flap was acceptable. Furthermore, the patient could walk without difficulty.

journal_name

Ann Plast Surg

authors

Shimizu F,Kato A,Taneda H,Masuda D,Sato S,Uehara M,Matsuda K,Kawano K,Takahashi Y,Yamaguchi K,Fujiwara S

doi

10.1097/SAP.0b013e318228e396

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

283-7

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

69

pub_type

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