Clinico-therapeutic management of osteoradionecrosis: A literature review and update
Med. oral patol. oral cir. bucal (Internet)
; 16(7): 900-904, .nov. 2011. ilus, tab
Artigo
em Inglês
| IBECS
| ID: ibc-93485
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
In the management of head and neck cancer, radiotherapy is usually a coadjuvant to surgery, or is applied on apalliative basis. The most important complication of such radiotherapy is osteoradionecrosis, which manifests asan area of exposed necrotic bone in the maxillae or mandible that fails to heal during at least three months. In mostcases osteoradionecrosis gradually progresses, becoming more extensive and painful, and its late manifestations comprise infection and pathological fracture.The present study provides a literature review and update on the risk factors underlying osteoradionecrosis, its clinical and diagnostic particulars, prevention, and most widely accepted treatment options, as well as new possibilities relating to clinical management of the disorder. Lastly, a new early management protocol is proposed based on the current consensus criteria relating to maxillary osteonecrosis secondary to treatment with bisphosphonates,together with the adoption of new therapies supported by increased levels of evidence (AU)
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Osteorradionecrose
/
Doenças Maxilares
Tipo de estudo:
Estudo de etiologia
/
Guia de prática clínica
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Med. oral patol. oral cir. bucal (Internet)
Ano de publicação:
2011
Tipo de documento:
Artigo
Instituição/País de afiliação:
Dr. Peset University Hospital/Spain