Osteoradionecrosis is a severe and devastating late complication of radiotherapy in patients with head and neck cancer. The diagnosis of Osteoradionecrosis is established by clinical and radiographic evidence of bone necrosis after irradiation. The current article reports a case of osteoradionecrosis in an irradiated patient (male; 62-year-old), which evolved into pathological fracture of the jaw, 2 years after the end of radiotherapy for oral cancer treatment. The patient was rehabilitated in other service, with reconstruction plates, without adjuvant hyperbaric oxygen therapy, progressing to a fistula formation and bone exposure.
Stramandinoli-Zanicotti RT, Silva WPP, Schussel JL, Dissenha JL, Sassi LM (2014) Pathological Fracture of the Mandible Associated to Osteoradionecrosis with Necrotic Bone and Reconstruction Plate Exposure: Case Report. Dentistry S2:002.