[Complications of post-irradiation radiotherapy mandibular resection: problems of reconstruction (author's transl)].
One hundred and twenty-six patients underwent a mandibular resection (segmental or marginal) as a part in the treatment of a malignant lesion. The surgical morbidity is increased by the preoperative high-dose irradiation. Complications such as osteitis and/or fracture of the mandible were noted in 31 cases (a total of 80) who underwent a preoperative external irradiation with a tumor-dose of 5,500 rads or higher, whereas only in 8 cases (a total of 46) without such preoperative radiotherapy. Prophylactic antibiotics, the use of flaps to replace the buccal mucosa without any suture-tension, replacement of the mandible by a low profile stainless steel prosthesis are advocated to reduce these postoperative complications.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005598:Fractures, Spontaneous; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000209:etiology* / Q000517:prevention & control; D008337:Mandibular Fractures / Q000209:etiology; D008339:Mandibular Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D008341:Mandibular Prosthesis; D008875:Middle Aged; D010000:Osteitis / Q000209:etiology*; D010027:Osteotomy; D011183:Postoperative Complications
D000900:Anti-Bacterial Agents
Complications des résections mandibulaires après irradiation et problèmes de reconstruction.