Osteoradionecrosis of the Posterior Maxilla
| Autor: | Alberto Busa, Fabrizio Carini, G Porcaro, Ernesto Amosso, Luca Mirabelli, Marcello Maddalone |
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| Přispěvatelé: | Porcaro, G, Amosso, E, Mirabelli, L, Busa, A, Carini, F, Maddalone, M |
| Rok vydání: | 2015 |
| Předmět: |
Male
Osteoradionecrosi Buccal fat Pad medicine.medical_specialty Osteoradionecrosis Therapeutic irrigation Dentistry Lasers Solid-State Surgical Flaps stomatognathic system Maxillary Diseases Maxilla medicine Humans Bulla (seal) Autografts Therapeutic Irrigation Aged Buccal fat pad Palatal Neoplasms Soft palate business.industry Hydrogen Peroxide General Medicine Laser Solid-State Maxillary Sinusitis medicine.disease Surgery Surgical Flap stomatognathic diseases Treatment Outcome medicine.anatomical_structure Adipose Tissue Debridement Otorhinolaryngology Sequestrectomy Tooth Extraction Carcinoma Squamous Cell sense organs business Follow-Up Studies |
| Zdroj: | Journal of Craniofacial Surgery. 26:e627-e629 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0000000000002136 |
| Popis: | Osteoradionecrosis (ORN) of the jaw is a complication of radiation therapy for head and neck cancers. We report a case of ORN of the posterior maxilla treated with Er: YAG laser and a pedicled buccal fat pad (bichat bulla adipose) flap. A 69-year-old man presented complaining of pain on left maxilla. He had received high-dose radiotherapy (90 Gy) for squamous cell carcinoma of the left soft palate 2 years earlier. Clinical and radiographic examinations revealed ORN of the left maxillary molar region and maxillary sinusitis. Daily home care consisted of 0.9% saline irrigation and 0.8% H2O2 gel application. Sequestrectomy and tooth extraction were followed by debridement with Er: YAG laser and repair with a pedicled buccal fat pad flap. Complete resolution of ORN and maxillary sinusitis was established one year postsurgically. The excellent clinical outcome suggests that Er: YAG laser debridement and pedicled buccal fat pad flap are a viable option to treat ORN of the posterior maxilla. |
| Databáze: | OpenAIRE |
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