The Osteosarcoradionecrosis as an Unfavorable Result Following Head and Neck Tumor Ablation and Microsurgical Reconstruction

被引：7
|
作者：
Deek, Nidal Farhan A. L. [1 ]
Wei, Fu-Chan [1 ]
机构：
[1] Chang Gung Univ, Coll Med, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, 199 Tun Hwa North Rd, Taipei 10591, Taiwan
来源：
CLINICS IN PLASTIC SURGERY | 2016年 / 43卷 / 04期
关键词：
Osteoradionecrosis; Osteosarcoradionecrosis; Radiotherapy; RADIATION-THERAPY; OSTEORADIONECROSIS; TISSUE; FLAP; JAWS; CLASSIFICATION; RADIOTHERAPY; EXPERIENCE; MANAGEMENT; PROPOSAL;
D O I：
10.1016/j.cps.2016.05.009
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Osteoradionecrosis is preferably called osteosarcoradionecrosis to adequately cover the scope of the problem: multitissue necrosis. The changes following radiotherapy and leading to necrosis are further classified into 2 phases based on improved understanding of the underlying mechanisms. The reversible-damage phase could respond to the medical treatment, while the irreversible damage phase or osteosarcoradionecrosis may benefit from complete resection and free flap reconstruction. The role of ablation and reconstruction in paving the road for the development of osteosarcoradionecrosis is discussed, a case study provided, and a refined reconstructive approach proposed.
引用
收藏
页码：753 / +
页数：8
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