Abstract

PINGARRON MARTIN, L. et al. Double-barrel microvascularised fibular graft for bilateral mandibular reconstruction due to osteoradionecrosis. Rev Esp Cirug Oral y Maxilofac [online]. 2010, vol.32, n.2, pp.76-80. ISSN 2173-9161.

Osteoradionecrosis of the mandible is a serious complication of radiotherapy that often leads to severe facial deformity. Difficulties in mastication, articulation, and swallowing are also common. Despite major improvements in radiation therapy of head and neck cancers during the last decade, osteoradionecrosis complications still occur. The indication for radical surgery is not clearly defined, but this kind of treatment should only be instituted when conservative methods fail or when severe bone and soft-tissue necrosis prevails. Pathological fractures or persistent fistulas are strong indications for a more radical surgical approach. This article reports a case of bilateral osteoradionecrosis of the mandible treated with radical escision and reconstruction in two stages with two fibular osteoseptocutaneous free flaps.

Keywords : Mandibular osteoradionecrosis; Microvascular fibular free flap; Mandibular reconstruction.

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