Author(s): Owais K., Morton M.E.
Institution: (Owais) Speciality Registrar, Oral and Maxillofacial surgery, North Manchetser General Hospital, Penine Acute Hospitals NHS Trust, Crumpsall, Manchester, United Kingdom, (Morton) Conslutant Oral and Maxillofacial Surgery, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust Blackburn, United Kingdom
Abstract: Management of osteoradionecrosis is a debilitating complication following management of head and neck cancers. It can be difficult to manage and often patients suffer with the complication after successful treatment of the primary disease. Speech, swallowing, pain and appearance can all be affected. We present a chronological history of case with serial radiographs and photographs of a patient whose primary cancer was successfully treated with radical radiotherapy. He went on to develop osteoradionecrosis of his mandible. This was treated with serial debridement leading to almost complete loss of the entire body of the mandible. After two failed composite free flaps this patient was treated with distraction osteogenesis. This has resulted in restoration of form and function. The patient is pain free almost 10 years on with normal swallowing. We also present the relevant literature on the use of distraction osteogenesis in cases of osteoradionecrosis.
Conference Information: 5th World Congress of the International Academy of Oral Oncology, IAOO 2015 Sao Paulo Brazil. Conference Start: 20150708 Conference End: 20150711
Publisher: John Wiley and Sons Inc.
Publication Type: Journal: Conference Abstract