Mandible Fracture After Radiotherapy: Case Report

Year 2022, Volume: 8 Issue: 3, 476 - 480, 31.08.2022

Ferhat Ayrancı , Hasan Akpınar

https://doi.org/10.19127/mbsjohs.1081469

Abstract

Oral cancers are among the most common types of cancer. Squamous cell carcinoma accounts for approximately %90 of oral cancers. The prognosis in oral squamous cell carcinomas differs depending on the treatment and the size of the lesion. Treatment options for squamous cell carcinomas include marginal resection, radiotherapy and chemotherapy. Although radiotherapy is an effective treatment option in head and neck cancers, it is known to cause some complications. Treatment options for squamous cell carcinomas include. In this case report, the complication of mandibular fracture seen after radiotherapy treatment is presented.
A 77-year-old female patient who was treated at the medical oncology clinic with the diagnosis of oral squamous cell carcinoma was referred to our clinic for pathological mandibular fracture and extraoral fistula caused by radiotherapy. As a result of intraoral examination, it was observed that the ramus was exposed due to pathological fracture in the right mandible corpus region. After the antimicrobial washing in the mouth, sequestrotomy was performed. Palliative treatment of the patient was performed, then the patient was followed up with telemedicine methods.
A detailed evaluation should be made before oral surgery in patients with a history of radiotherapy from the head and neck region. Precautions should be taken against the possible risk of osteoradionecrosis.

Keywords

Pathological fracture, radiotherapy, osteoradionecrosis

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