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The Free Greater Omental Flap for Treatment of Mandibular Osteoradionecrosis
William J. Moran, MD, DMD;
William R. Panje, MD
Arch Otolaryngol Head Neck Surg. 1987;113(4):425-427.
Abstract
• Osteoradionecrosis can involve the mandible following radical irradiation for treatment of oral cavity cancer. The radionecrosis of the mandible is often associated with severe intractable pain, local or extensive deformity, including pathologic fracture, orocutaneous fistula formation, and frequent loss of function. Treatment has ranged from analgesia and antibiotics to hyperbaric oxygen treatments to local or extensive sequestrectomies with partial or total mandibulectomy and restoration of tissue losses with unirradiated tissue. To our knowledge, this is the first report of the successful use of a free greater omental flap for immediate treatment of mandibular osteoradionecrosis and concomitant reconstruction. We found the omentum to be an excellent vascular bed that rapidly resolved the osteoradionecrosis and pain, promoted healing, and restored mandibular function with minimal discomfort to the patient.
(Arch Otolaryngol Head Neck Surg 1987;113:425-427)
Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Chicago Medical Center.
Footnotes
Accepted for publication June 26, 1986.
Read before the Midwestern Region Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Chicago, Jan 24, 1986.
Reprint requests to Department of Otolaryngology—Head and Neck Surgery, University of Chicago Medical Center, 5841 S Maryland Ave, Box 412, Chicago, IL 60637 (Dr Moran).
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