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. 1997 Jul;84(1):16-21.
doi: 10.1016/s1079-2104(97)90287-0.

Conservative management of osteoradionecrosis

J K Wong  1 , R E Wood, M McLean
Affiliations

Conservative management of osteoradionecrosis

J K Wong et al. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Jul.

Abstract

A retrospective records analysis of 32 patients with mandibular osteoradionecrosis seen between August 1960 and September 1995 was undertaken to determine the effectiveness of nonsurgical/nonhyperbaric oxygen conservative management. Two patients died before final analysis. Of those alive, 65.5% of patients were spared resection, having lesions resolve (48.3%), improve (3.4%), or asymptomatically stabilize (13.8%). Sequestrum production allowing "gentle" removal predicted a more favorable clinical course when managed conservatively compared with nonsequestrating lesions (p < 0.05). Criteria to define clinical osteoradionecrosis are proposed.

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