Free greater omental flap for treatment of mandibular osteoradionecrosis

Journal Article · Wed Apr 01 04:00:00 EST 1987 · Arch. Otolaryngol. Head Neck Surg.; (United States)

DOI:https://doi.org/10.1001/archotol.1987.01860040087025· OSTI ID:6572033

Moran, W J; Panje, W R

Osteoradionecrosis can involve the mandible following radical irradiation for treatment of oral cavity cancer. The radionecrosis of the mandible is often associated with severe intractable pain, local or extensive deformity, including pathologic fracture, orocutaneous fistula formation, and frequent loss of function. Treatment has ranged from analgesia and antibiotics to hyperbaric oxygen treatments to local or extensive sequestrectomies with partial or total mandibulectomy and restoration of tissue losses with unirradiated tissue. To our knowledge, this is the first report of the successful use of a free greater omental flap for immediate treatment of mandibular osteoradionecrosis and concomitant reconstruction. We found the omentum to be an excellent vascular bed that rapidly resolved the osteoradionecrosis and pain, promoted healing, and restored mandibular function with minimal discomfort to the patient.

• Research Organization: Univ. of Chicago Medical Center, IL
• OSTI ID: 6572033
• Journal Information: Arch. Otolaryngol. Head Neck Surg.; (United States), Journal Name: Arch. Otolaryngol. Head Neck Surg.; (United States) Vol. 4; ISSN AONSE
• Country of Publication: United States
• Language: English

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560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
DISEASES
INJURIES
JAW
LOCAL RADIATION EFFECTS
MEDICINE
NECROSIS
NUCLEAR MEDICINE
ORGANS
OSTEORADIONECROSIS
PATHOLOGICAL CHANGES
RADIATION EFFECTS
RADIATION INJURIES
RADIOINDUCTION
RADIOLOGY
RADIOTHERAPY
SIDE EFFECTS
SKELETAL DISEASES
SKELETON
SKULL
THERAPY