Surgical Treatment of Osteoradionecrosis

Autor:	Yoshihumi Uno
Rok vydání:	1999
Předmět:	medicine.medical_specialty Chemotherapy Combination therapy Osteoradionecrosis business.industry medicine.medical_treatment Soft tissue Free flap Anastomosis medicine.disease Surgery Radiation therapy Otorhinolaryngology medicine Surgical treatment business
Zdroj:	Practica Oto-Rhino-Laryngologica. 92:245-251
ISSN:	1884-4545 0032-6313
DOI:	10.5631/jibirin.92.245
Popis:	Three cases of osteoradionecrosis (temporal and maxillary bones) were reconstructed using the microvascular tissue transfer method. These patients had received combination therapy consisting surgery, radiotherapy and chemotherapy. After the combined therapy, local infection, pain and bleeding continued. Furthermore, inflammation appeared due to necrosis of the affected bones and soft tissues. The large tissue defect was reconstructed with a rectus abdominis flap (case 1), a latissumus dorsi flap (case 2) and an anterolateral thigh flap (case 3), with microvascular anastomosis. In all of these cases, the anastomosis succeeded. However, in case 2, the free flap necrosed at 10 days after the operation, and deltoid-pectoneal flap was then used for reconstruction. The microvascular tissue transfer method was useful for the treatment of osteoradionecrosis, but this method must be performed keeping in mind that a revised operation may be necessary.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::f6430d78d26e748f9c5ba1b662f4673a https://doi.org/10.5631/jibirin.92.245 Zobrazit plný text záznamu