6533b827fe1ef96bd1287176

RESEARCH PRODUCT

Therapeutic alternatives in the management of osteoradionecrosis of the jaws. Systematic review

Kl. OrtegaJb. MedinaAi. Lorenzo PousoM. Pérez SayánsGc. CamolesiP Gandara VilaL. Campos

subject

medicine.medical_specialtyOsteoradionecrosismedicine.medical_treatmentPsychological interventionMEDLINEcrohn?s diseaseReviewPharmacological treatment03 medical and health sciences0302 clinical medicineinflammatory bowel diseaseIntervention (counseling)medicineHumansSurgical treatmentGeneral DentistryLow level laser therapyUNESCO:CIENCIAS MÉDICASulcerative colitisbusiness.industry030206 dentistryapical periodontitisPrognosismedicine.diseaseSurgeryJawOsteoradionecrosisOtorhinolaryngologyHead and Neck Neoplasmstoot canal treatmentSurgeryOral SurgerybusinessJaw Diseases

description

Background to systematically review the literature, comparing the healing of osteoradionecrosis (ORN) among the therapeutic alternatives: surgical, pharmacological and combined. Material and Methods The review was organized according to the PRISMA protocol with regards to the following PICO question: patients with ORN of the jaws (P=Patient); all interventions reported (I = intervention); between all therapies (C=Comparison); healing of lesions (O=outcome). Results Surgical treatment was the most common choice (46.3%) followed by pharmacological treatment, exclusively (25.9%) or combined (26.9%). Treatment exclusively by surgical intervention seems to be most effective option, with 51.2% of the lesions healed, OR for healing of 5.7 (CI95% 1.9-16.9, p=0.002). Only 1 case (0.9%) corresponded to low level laser therapy. Conclusions It seems clear that early intervention with conservative surgical combined with pharmacological methods improves the prognosis of ORN. Key words:Osteoradionecrosis, radiotherapy bone necrosis, hyperbaric oxygen, pentoxifylline, teriparatide, low level laser therapy.

yearjournalcountryeditionlanguage
2020-07-03
10.4317/medoral.24132https://hdl.handle.net/10550/88013