From: Osteoradionecrosis of the mandible: a case series at a single institution
Stage | Tumor | Primary ORN surgery | Other ORN surgery |
---|---|---|---|
1 | T3N0 soft palate | N/A | N/A |
T2N0 retromolar trigone | N/A | N/A | |
T4N2 tonsil | Local debridement | N/A | |
T2N0 retromolar trigone | Local debridement | N/A | |
T3N0 tongue | Marginal resection | Local debridement, dental procedures | |
2 | T3N0 tongue | Mandibular resection, sequestrectomy | Sequestrectomy |
T2N1 tongue | Segmental resection, FFF | Iliac crest bone graft | |
T4N2 tonsil | Segmental resection, osteocutaneous lat dorsi and parascapular free flap | N/A | |
3 | T2N2 tongue | Sequestrectomy and saucerisation | Mandibular resection; Re-resection, FFF, pectoralis major flap |
T2N2 parotid | Partial mandibulectomy, FFF | RFFF | |
T4N1 tonsil | Mandibulectomy, FFF, pectoralis major flap | Iliac crest bone graft | |
T2N0 tonsil | Mandibular resection, reconstructive plate | N/A | |
T2N0 tonsil | Segmental resection, reconstructive plate | Replacement plate, iliac crest bone graft | |
T2N0 buccal mucosa | Marginal resection | Local debridement |