SciELO - Scientific Electronic Library Online

vol.32 issue2Endovascular treatment of a post-traumatic arterio-venous fistula: Presentation of a clinical case and literature reviewVertical distraction osteogenesis of microvascularised fibular grafts for mandibular reconstruction and optimisation of rehabilitation implantology author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


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.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License