Maxillofacial Plastic and Reconstructive Surgery

  • 제32권3호
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  • Pages.265-269
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  • 2010
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

양측성으로 하악골에 순차적으로 발생한 방사선골괴사증: 증례보고

SERIAL OSTEORADIONECROSIS ON BOTH SIDES OF MANDIBLE: A CASE REPORT

  • 김해린 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 윤규호 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 박관수 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 정정권 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 배정호 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 권준 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 박군찬 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 신재명 (인제대학교 일산백병원 구강악안면외과학교실) ;
  • 백지선 (인제대학교 일산백병원 구강악안면외과학교실)
  • Kim, Hae-Lin (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Yoon, Kyu-Ho (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Park, Kwan-Soo (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Cheong, Jeong-Kwon (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Bae, Jung-Ho (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Kwon, Jun (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Park, Gun-Chan (Department of Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital) ;
  • Shin, Jae-Myung (Department of Oral and Maxillofacial Surgery, Inje University Ilsan-Paik Hospital) ;
  • Baik, Jee-Seon (Department of Oral and Maxillofacial Surgery, Inje University Ilsan-Paik Hospital)
  • 투고 : 2010.03.04
  • 심사 : 2010.05.04
  • 발행 : 2010.05.31
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초록

Radiation therapy for malignancy of head and neck leads to secondary effects, such as mucositis, xerostomia, dental caries and osteoradionecrosis. Osteoradionecrosis is a delayed complication which causes chronic pain, infection and constant deformity after necrosis. It occurs spontaneously or after primary oncologic surgery, dental extraction or by trauma of prosthesis. To reduce the incidence of osteoradionecrosis, appropriate antibiotic usage, atraumic procedure, tension-free primary suture and hyperbaric oxygen therapy are essential. This case is about a 74 years old woman who was treated for osteoradionecrosis after extraction of right lower molar at year 2006. She had received radiation therapy for angiosarcoma on tongue at year 2004. At year 2008 the patient came to our hospital for extraction of the opposite premolar but despite careful treatment, osteoradionecrosis occurred again. She was successfully treated by surgical procedure so we report this case.

키워드

참고문헌

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