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JAMA Otolaryngology-- Head & Neck... Aug 2023
Topics: Humans; Proton Therapy; Osteoradionecrosis; Radiotherapy Dosage; Mandibular Diseases
PubMed: 37318798
DOI: 10.1001/jamaoto.2023.1301 -
JAMA Otolaryngology-- Head & Neck... Aug 2023
Topics: Humans; Proton Therapy; Osteoradionecrosis; Radiotherapy Dosage; Mandibular Diseases
PubMed: 37318819
DOI: 10.1001/jamaoto.2023.1302 -
Cancers Sep 2023Post-oropharyngeal cancer treatment complications include a multitude of oral side effects that impact overall survival and quality of life. These include acute and... (Review)
Review
Post-oropharyngeal cancer treatment complications include a multitude of oral side effects that impact overall survival and quality of life. These include acute and chronic conditions affecting the oral cavity and head and neck, such as mucositis, infection, xerostomia, dysgeusia, radiation caries, osteonecrosis, and trismus. This review will summarize the most common oral complications from oropharyngeal cancer therapy. The authors would like to point out that the literature cited frequently combines oropharyngeal and head and neck cancer results. If recommendations are made strictly related to oropharyngeal cancers, this will be highlighted.
PubMed: 37760517
DOI: 10.3390/cancers15184548 -
Head & Neck Jun 2024Head and neck osteoradionecrosis (ORN) of the midface requiring free flap (FF) reconstruction is uncommon. This multi-institutional study was designed to review outcomes...
BACKGROUND
Head and neck osteoradionecrosis (ORN) of the midface requiring free flap (FF) reconstruction is uncommon. This multi-institutional study was designed to review outcomes for this rare patient population.
METHODS
Retrospective multi-institutional review of FF reconstruction for midface ORN (2005-2022; n = 54).
RESULTS
The FF survival rate was 87% (n = 54). Patients were less likely to be tolerating a regular diet at 3 months postoperative if they had a preoperative history of prior head and surgery (80% vs. 95%; p = 0.02), a pathologic fracture (50% vs. 90%; p = 0.04), exposed bone intraorally (43% vs. 94%; p = 0.002), or a fistula (67% vs. 96%; p = 0.03). Mean albumin was higher in patients whose FF survived (3.6 ± 0.5 vs. 2.7 ± 1.4; p = 0.03). Patients with low prealbumin were more likely to undergo a hematoma evacuation (27% vs. 0%; p = 0.02).
CONCLUSION
In this series of midface ORN requiring FF reconstruction preoperative nutritional status impacted postoperative complications. Preoperative occurrence of a fistula, pathologic fracture, and intraoral bone exposure correlated with decreased tolerance of a regular diet following reconstruction.
PubMed: 38845552
DOI: 10.1002/hed.27824 -
Dental Clinics of North America Apr 2024This article defines the fascial and spatial anatomy of the suprahyoid neck region, delineates the role of CT and MR imaging, discusses the inflammatory conditions of... (Review)
Review
This article defines the fascial and spatial anatomy of the suprahyoid neck region, delineates the role of CT and MR imaging, discusses the inflammatory conditions of the jaws and adjacent spaces and their clinical symptomatology, and illustrates the appearance of these conditions.
Topics: Humans; Osteoradionecrosis; Jaw; Jaw Diseases; Magnetic Resonance Imaging; Osteonecrosis
PubMed: 38417990
DOI: 10.1016/j.cden.2023.09.003 -
JAMA Otolaryngology-- Head & Neck... Apr 2024
Topics: Humans; Osteoradionecrosis; Tooth Extraction; Mandible; Head and Neck Neoplasms
PubMed: 38358747
DOI: 10.1001/jamaoto.2023.4679