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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 150 - 154 (5page)
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We present a case of osteoradionecrosis treated with leukocyte- and platelet-rich fibrin (LPRF) and surgery and followed up with clinical and tomographic investigations. A 65-year-old woman presented with pain in the posterior region of the right palate. Her medical history included cardiovascular disease and squamous cell carcinoma in the anterior region of the floor of the mouth that had been treated with intensity-modulated radiation therapy. Measurements of isodose curves showed a full dosage of 6,462.6 cGy in the anterior mandibular region, whereas that in the posterior region on the right side of the maxilla reached 5,708.1 cGy. Osteotomy was performed using rotary instruments, and debridement and placement of two LPRF membranes were also carried out. New gum tissue with no bone exposure was noted 14 days postoperatively. Tissue repair was complete, and the patient had no further complaints. During a 39-month follow-up period, the oral mucosa remained intact, and the patient was rehabilitated with a new upper denture. Since there is no consensus regarding the best protocol to treat osteoradionecrosis, LPRF might be an interesting adjuvant to a surgical approach. The use of LPRF is simple and reduces operational costs, time of handling, probability of technical failure, and associated morbidities for patients with osteoradionecrosis.
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참고문헌 (20)
참고문헌 신청
Harris M / 1992 / The conservative management of osteoradionecrosis of the mandible with ultrasound therapy / Br J Oral Maxillofac Surg 30:313~318
Epstein JB / 1987 / Osteoradionecrosis : clinical experience and a proposal for classification / J Oral Maxillofac Surg 45:104~110
Lyons A / 2014 / Osteoradionecrosis : a review of current concepts in defining the extent of the disease and a new classification proposal / Br J Oral Maxillofac Surg 52:392~395
Marx RE / 1983 / Osteoradionecrosis : a new concept of its pathophysiology / J Oral Maxillofac Surg 41:283~288
Rice N / 2015 / The management of osteoradionecrosis of the jaws : a review / Surgeon 13:101~109
Epstein JB / 1987 / Osteoradionecrosis : clinical experience and a proposal for classification / J Oral Maxillofac Surg 45:104~110
Lyons A / 2014 / Osteoradionecrosis : a review of current concepts in defining the extent of the disease and a new classification proposal / Br J Oral Maxillofac Surg 52:392~395
Marx RE / 1983 / Osteoradionecrosis : a new concept of its pathophysiology / J Oral Maxillofac Surg 41:283~288
Rice N / 2015 / The management of osteoradionecrosis of the jaws : a review / Surgeon 13:101~109
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