Conservative Management of Osteoradionecrosis By Debridement, Sequestrectomy and Placement of An Obturator ? A Clinical Report

Dr. V. Suresh, Dr. R. Sathya Narayanan, Dr. Beena Agnes Therese

Abstract: Osteoradionecrosis is defined as an exposed irradiated bone that fails to heal over a period of three months without a residual or recurrent tumor. The risk factors for the development of ORN includes dose or radiation (> 50-60Gy), radiation area, patients with poor oral hygiene, recent dental extraction, malnutrition, immuno compromised status. The management of osteoradionecrosis varies from more conservative approach to the aggressive treatment modalities. In this clinical report we present a case of stage I osteoradionecrosis who underwent conservative management with obturator which shows excellent results.

Keywords: mandible, osteoradionecrosis, radiotherapy, Head and neck neoplasm, Obturator