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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2015 | Research

Treatment of pathologic fracture following postoperative radiation therapy: clinical study

Authors: Chul-Man Kim, Min-Hyeog Park, Seong-Won Yun, Jin-Wook Kim

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2015

Abstract

Background

Pathologic fractures are caused by diseases that lead to weakness of the bone structure. This process sometimes occurs owing to bony change after radiation therapy. Treatment of pathologic fractures may be difficult because of previous radiation therapy.

Methods

In this study, we analyzed clinical and radiographic data and progress of five patients with mandibular pathological fractures who had received postoperative radiation therapy following cancer surgery.

Result

Patients received an average radiation dose of 59.2 (SD, 7.2) Gy. Four of five patients exhibited bone union regardless of whether open reduction and internal fixation (OR/IF) was performed. Patients have the potential to heal after postoperative radiation therapy. Treatment of a pathologic fracture following postoperative radiation therapy, such as traditional treatment for other types of fractures, may be performed using OR/IF or CR. OR/IF may be selected in cases of significant bone deviation, small remaining bone volume, or occlusive change.

Conclusion

Patients have the potential to heal after postoperative radiation therapy.

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Title: Treatment of pathologic fracture following postoperative radiation therapy: clinical study
Authors: Chul-Man Kim
Min-Hyeog Park
Seong-Won Yun
Jin-Wook Kim
Publication date: 01-12-2015
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2015
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-015-0032-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of pathologic fracture following postoperative radiation therapy: clinical study

Abstract

Background

Methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

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