External fixation greatly improves outcomes in the surgical treatment of osteoradionecrosis of the jaws without affecting quality of life: a five-year retrospective study

Mahdian, Nima; Onderková, Anna; Brizman, Eitan; Pavlíková, Gabriela; Vlachopulos, Vasilis; Drahoš, Milan; Foltán, René

doi:10.1016/j.bjoms.2020.05.031

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…In cases of osteoradionecrosis with sequestrotomy there is also an indication, preventing pathological fractures that are difficult to manage. (Mahdian et al, 2020) Indication for condylar mandibular fractures was also studied and presented good prognoses . Ballistic trauma, in which there is extensive bone comminution and excessive mobility, can develop secondary local necrosis, especially when high-velocity bullets are involved, which contraindicates immediate reconstruction with grafting and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

Falcão,

Passos,

Mattos

et al. 2024

RSD

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Gunshot wounds may cause extensive damage to the facial skeleton, generating complex fractures. Cases of great bone comminution and poor stability can be a challenge with rigid internal fixation. Thus, the use of an external fixator is indicated. The aim of this study is to report a case of a wrist external fixator for initial treatment of a gunshut injury. A 58-year-old male patient was found on the street with extensive comminution and significant mobility of the mandibular bone, tooth loss, crown-root fractures, multiple metal fragments and a firearm projectile lodged in his face. The treatment implemented was surgical debridement with removal of foreign particles, unviable fragments and submental projectile. Next, wrist external fixator was installed bilaterally in the mandible. Good stability of the bone segments was achieved, in addition to preventing bone displacement into the airways. The use of an external fixator is a viable alternative for Traumatology services and can be useful in urgent cases like this one, allowing subsequent refined reconstructions.

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Section: Discussionmentioning

confidence: 99%

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

Falcão,

Passos,

Mattos

et al. 2024

RSD

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Prevention and Management of Osteoradionecrosis in Patients With Head and Neck Cancer Treated With Radiation Therapy: ISOO-MASCC-ASCO Guideline

Peterson,

Koyfman,

Yarom

et al. 2024

JCO

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ASCO Guidelines provide recommendations with comprehensive review and analyses of the relevant literature for each recommendation, following the guideline development process as outlined in the ASCO Guidelines Methodology Manual . ASCO Guidelines follow the ASCO Conflict of Interest Policy for Clinical Practice Guidelines . Clinical Practice Guidelines and other guidance (“Guidance”) provided by ASCO is not a comprehensive or definitive guide to treatment options. It is intended for voluntary use by providers and should be used in conjunction with independent professional judgment. Guidance may not be applicable to all patients, interventions, diseases, or stages of diseases. Guidance is based on review and analysis of relevant literature and is not intended as a statement of the standard of care. ASCO does not endorse third-party drugs, devices, services, or therapies and assumes no responsibility for any harm arising from or related to the use of this information. See complete disclaimer in Appendix 1 and Appendix 2 (online only) for more. PURPOSE To provide evidence-based recommendations for prevention and management of osteoradionecrosis (ORN) of the jaw secondary to head and neck radiation therapy in patients with cancer. METHODS The International Society of Oral Oncology-Multinational Association for Supportive Care in Cancer (ISOO-MASCC) and ASCO convened a multidisciplinary Expert Panel to evaluate the evidence and formulate recommendations. PubMed, EMBASE, and Cochrane Library databases were searched for randomized controlled trials and observational studies, published between January 1, 2009, and December 1, 2023. The guideline also incorporated systematic reviews conducted by ISOO-MASCC, which included studies published from January 1, 1990, through December 31, 2008. RESULTS A total of 1,539 publications were initially identified. There were 487 duplicate publications, resulting in 1,052 studies screened by abstract, 104 screened by full text, and 80 included for systematic review evaluation. RECOMMENDATIONS Due to limitations of available evidence, the guideline relied on informal consensus for some recommendations. Recommendations that were deemed evidence-based with strong evidence by the Expert Panel were those pertaining to best practices in prevention of ORN and surgical management. No recommendation was possible for the utilization of leukocyte- and platelet-rich fibrin or photobiomodulation for prevention of ORN. The use of hyperbaric oxygen in prevention and management of ORN remains largely unjustified, with limited evidence to support its practice. Additional information is available at www.asco.org/head-neck-cancer-guidelines .

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The importance of dental treatment before radioterapy of head and neck cancer

Mahdian¹,

Holakovský²,

Onderková³

et al. 2021

Onkologie

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External fixation greatly improves outcomes in the surgical treatment of osteoradionecrosis of the jaws without affecting quality of life: a five-year retrospective study

Cited by 3 publications

References 17 publications

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

Prevention and Management of Osteoradionecrosis in Patients With Head and Neck Cancer Treated With Radiation Therapy: ISOO-MASCC-ASCO Guideline

The importance of dental treatment before radioterapy of head and neck cancer

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