Osteoradionecrosis of the Jaws: A Review of Conservative and Surgical Treatment Options

Kiki C. A. L. Cheriex, Tim H. J. Nijhuis, Marc A. M. Mureau*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

16 Citations (Web of Science)

Abstract

Although surgery still is the most important treatment modality in the management of head and neck cancer, radiotherapy is increasingly being used. Consequently, the majority of head and neck cancer patients are at risk of developing osteoradionecrosis of the jaws, which is the most serious and important complication of radiotherapy. This review presents the etiology, pathophysiology, diagnosis, classification, and prevention of osteoradionecrosis. In addition, the body of evidence regarding conservative as well as surgical treatment of osteoradionecrosis is reviewed, and studies on complications, tumor recurrence and patient survival, dental rehabilitation, and functional and aesthetic outcome after surgical treatment for osteoradionecrosis are discussed.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Original languageEnglish
Pages (from-to)69-75
JournalJournal of Reconstructive Microsurgery
Volume29
Issue number2
DOIs
Publication statusPublished - Feb 2013

Keywords

  • osteoradionecrosis
  • hyperbaric oxygen
  • conservative treatment
  • surgical treatment

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