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논문 기본 정보

자료유형
학술저널
저자정보
Hyemin Oh (Department of Oral and Maxillofacial Surgery Samsung Medical Center Sungkyunkwan University School) Dohyun Kwon (Department of Oral and Maxillofacial Surgery Samsung Medical Center Sungkyunkwan University School) Jaemyung Ahn (Department of Oral and Maxillofacial Surgery Samsung Medical Center Sungkyunkwan University School) Jun-Young Paeng (Department of Oral and Maxillofacial Surgery Samsung Medical Center Sungkyunkwan University School)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제44권
발행연도
2022.1
수록면
1 - 8 (8page)
DOI
10.1186/s40902-022-00365-3

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BackgroundComplications from osteoradionecrosis (ORN) and medication-related osteonecrosis of the jaw (MRONJ) include oro-cutaneous fistulas, necrotic bone exposure, soft-tissue defects, and pathologic fractures. The fibula free flap (FFF) is a common free flap method used to reconstruct the mandible in severe cases. Recently, we have used the FFF successfully for the reconstruction of ORN and MRONJ mandibular defects. We report this method as a recommended technique for the treatment of ORN and MRONJ and the management method of postoperative infections.MethodsFour patients who were diagnosed with ORN of the mandible and 3 patients who were diagnosed with MRONJ of the mandible were included in the study. Among the 7 patients, 3 patients also had pathologic fractures. Partial mandibulectomy and FFF reconstruction were performed at the Department of Oral and Maxillofacial Surgery, Samsung Medical Center from April 2019 to March 2021.ResultsAll 7 patients recovered following the reconstruction of the defect by FFF. Four patients experienced infections after surgery and pus cultures were performed. All were well healed without flap damage after changing the antibiotics by consultation with infectious medicine experts.ConclusionFFF is a widely used method and can provide an extensive flap to reconstruct the mandible, especially those affected by ORN or MRONJ. If an infection occurs after surgery, appropriate antibiotic changes should be made through cooperation with the infectious medicine department. Therefore, FFF is a well-established and recommended method even in cases of challenging reconstruction.

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