Osteoradionecrosis in osseous free flap reconstruction: Risk factors and treatment.

Peter T DziegielewskiStewart BernardWilliam M Mendenhall Kathryn E HitchcockCharles Parker GibbsJoy WangRobert J AmdurNatalie L SilverJohn HardemanHadi SeikalyWilliam J ReschlyDeepa DananRaja Sawhney

Published in: Head & neck (2020)

PORT >60 Gy is significantly associated with free flap ORN. As the dose of adjuvant RT increases beyond 60 Gy, the risk of ORN in free flaps rises. Consideration should be given to lower PORT doses or delaying free flap reconstruction when feasible.

Keyphrases

risk factors
robot assisted
early stage
laparoscopic surgery
minimally invasive