[Current treatment of osteoradionecrosis].
Conventional treatment of osteoradionecrosis of mandible is by antibiotics combined if necessary with a hemimandibulectomy. A method is proposed which reduces bone excision to infected and necrotic tissue while respecting mandibular continuity. The bone remaining is covered by a flap taken from a distant region. Five cases treated in this way are reported. When mandibular continuity has to be interrupted to suppress infected foci, immediate repair is performed using an osteo-musculo-cutaneous flap, and six cases treated by this method are reported. A part from their mechanical covering and reconstructing roles these well vascularized flaps improve vitality of tissues they enclose, including the mandibular bone.
Lagier
J P
JP
Blanc
J L
JL
Lachard
A
A
Cheynet
F
F
Rakotobe
P
P
Lachard
J
J
D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D006801:Humans; D008334:Mandible / Q000601:surgery; D008336:Mandibular Diseases / Q000628:therapy*; D008795:Metronidazole / Q000008:administration & dosage; D010025:Osteoradionecrosis / Q000628:therapy*; D010400:Penicillin G / Q000008:administration & dosage; D011292:Premedication; D011832:Radiation Injuries / Q000628:therapy*; D013524:Surgical Flaps
D008795:Metronidazole; D010400:Penicillin G
Le traitement actuel de l'ostéoradionécrose.