Occurrence and Treatment Outcome of Late Complications After Free Fibula Flap Reconstruction for Mandibular Osteoradionecrosis.
antibiotic
free fibula flap
late complications
osteoradionecrosis of the jaw
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
11 Mar 2021
11 Mar 2021
Historique:
entrez:
16
4
2021
pubmed:
17
4
2021
medline:
17
4
2021
Statut:
epublish
Résumé
This study aimed to evaluate the occurrence and treatment outcome of late complications after free fibula osteocutaneous flap reconstruction for mandibular osteoradionecrosis (ORN). We enrolled 15 consecutive patients (14 men, one woman; median age 65 years, range 57-80 years) who underwent free fibula reconstruction for advanced mandibular ORN during 2013-2017 with two or more years of follow-up. Late complications included infection, plate exposure, and recurrence at the resection margin. The effect of perioperative antibiotic administration on late complications was also assessed. Late complications occurred in 33.3% (5/15) of patients, including two infections (local and distant), two plate exposures, and two recurrences (plate exposure and recurrence occurred in one patient). Perioperative antibiotic administration duration did not significantly affect the occurrence of postoperative late complications. All late complications were treated without problems. Late complications after ORN reconstructive surgery are not uncommon, but can be treated properly.
Identifiants
pubmed: 33859894
doi: 10.7759/cureus.13833
pmc: PMC8038921
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e13833Informations de copyright
Copyright © 2021, Yamashita et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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