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March 1982

Treatment of the Patient With Extensive Osteoradionecrosis of the Mandible

Author Affiliations

From the Department of Otolaryngology, University of Michigan, Ann Arbor.

Arch Otolaryngol. 1982;108(3):179-183. doi:10.1001/archotol.1982.00790510051010

• The management of osteoradionecrosis of the mandible remains controversial. Involvement of large areas of the mandible or the entire mandible with osteoradionecrosis may result in severe functional disability and cosmetic deformity. Pain, trismus, difficulty with speech and eating, and a malodorous wound are all problems that must be corrected. Local forms of therapy may be inadequate in the treatment of extensive osteoradionecrosis, and more aggressive surgical management is required. The extent of surgical intervention depends on the individual case. However, preservation of function and avoidance of disfigurement are important goals in the treatment plan. From both a functional and cosmetic standpoint, surgical management can be effective in achieving satisfactory rehabilitation goals.

(Arch Otolaryngol 1982;108:179-183)