title: [Current treatment of osteoradionecrosis].
abstract: 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.
authors.forename: J P
authors.initials: JP
authors.lastname: Lagier
authors.forename: J L
authors.initials: JL
authors.lastname: Blanc
authors.forename: A
authors.initials: A
authors.lastname: Lachard
authors.forename: F
authors.initials: F
authors.lastname: Cheynet
authors.forename: P
authors.initials: P
authors.lastname: Rakotobe
authors.forename: J
authors.initials: J
authors.lastname: Lachard
mesh_terms: 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
chemical_list: D008795:Metronidazole; D010400:Penicillin G
vernacular_title: Le traitement actuel de l'ostéoradionécrose.