Mandible Fracture After Radiotherapy: Case Report

Author:

AYRANCI Ferhat1,AKPINAR Hasan1

Affiliation:

1. ORDU ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, AĞIZ, DİŞ, ÇENE CERRAHİSİ ANABİLİM DALI

Abstract

Oral cancers are among the most common types of cancer. About 90% of oral cancers are squamous cell carcinoma. The prognosis in oral squamous cell carcinomas differs depending on the treatment and the size of the lesion. Marginal resection, radiotherapy and chemotherapy are the treatment options for squamous cell carcinomas. Although radiotherapy is an effective treatment option in head and neck cancers, it is known to cause some complications. In this case report, mandibular fracture after radiotherapy is presented. A 77-year-old female patient who was treated at the medical oncology clinic with the diagnosis of oral squamous cell carcinoma was referred to our clinic for pathological mandibular fracture and extraoral fistula caused by radiotherapy. As a result of intraoral and radiological examination, it was observed that the ramus was exposed due to pathological fracture in the right mandible corpus region. After the necessary antimicrobial washing in the mouth, sequestrotomy was performed. The patient who underwent palliative treatment died 2 months later. A detailed evaluation should be made before oral surgery in patients with a history of radiotherapy from the head and neck region. Necessary precautions should be taken against the possible risk of osteoradionecrosis.

Publisher

Ordu University

Subject

General Medicine

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