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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 2/2019

01-06-2019 | Hemangioma | Case Report

Case report: chronic inflammatory ulcer and osteoradionecrosis of the skull following radiotherapy in early childhood

Authors: Birte Julia Siegmund, Jan Rustemeyer

Published in: Oral and Maxillofacial Surgery | Issue 2/2019

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Abstract

Introduction

Chronic inflammatory diseases of the skin are the most common differential diagnosis of tumorous lesions of the craniofacial region. Detailed information about a patient's medical history is important for the clinical diagnosis of such cases. Previous radiotherapy should be taken into account, especially in cases of chronic dermatitis, since complications include osteoradionecrois of the adjacent bone strucutres with surrounding inflammation.

Case Report

We present the case of a 77-year-old femal patient who was admitted to our department with a slightly progressive ulcerating lesion of the frontotemporal skull. The patient had received radiotherapy in early childhood as primary therapy for hemangioma. Diagnostic imaging and biopsies revealed a diagnosis of chronic ulceration with underlying osteonecrosis and fibrotic osteomyelitis of the skull. A complex reconstruction of osseous structures and soft tissue was necessary to resolve her complaints.

Conclusion

Chronic radiodermatitis and osteoradionecrosis in adults, occurring as late complications, are uncommon, but can be observed even nearly 80 years after radiation. Large defects of the skull require a complete reconstruction to avoid several complications.
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Metadata
Title
Case report: chronic inflammatory ulcer and osteoradionecrosis of the skull following radiotherapy in early childhood
Authors
Birte Julia Siegmund
Jan Rustemeyer
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 2/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00752-7

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