标题:Chinese group expert consensus on diagnosis and clinical management of osteoradionecrosis of the mandible
作者:He Y.; Ma C.; Hou J.; Li X.; Peng X.; Wang H.; Wang S.; Liu L.;等 更多
作者机构:[He, Y] Department of Oral & Maxillofacial – Head & Neck Oncology, 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 更多
通讯作者:He, Y(william5218@126.com)
通讯作者地址:[He, Y] Department of Oral & Maxillofacial – Head & Neck Oncology, 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 更多
来源:International Journal of Oral and Maxillofacial Surgery
出版年:2019
DOI:10.1016/j.ijom.2019.06.015
关键词:expert consensus; mandible; osteoradionecrosis; treatment
摘要:Osteoradionecrosis of the mandible (MORN) is one of the most devastating complications caused by radiation therapy in the head and neck region. It is characterized by infection and chronic necrosis of the mandible as the main manifestation. Clinically, MORN-related symptoms include swelling, pain, dysphagia, trismus, masticatory or speech disorders, refractory orocutaneous fistula, bone exposure, and even pathological fracture. MORN has become a challenging clinical problem for oral and maxillofacial surgeons to deal with, but thus far, this problem has not been solved due to the lack of widely accepted treatment algorithms or guidelines. Because of the nonexistence of standardized treatment criteria, most clinical treatment against MORN nowadays is largely based on controversial empirical understandings, while recommendations on post-therapeutic evaluations are scarce. Therefore, to further unify and standardize the diagnosis and treatment of MORN, to decrease the huge waste of medical resources, and ultimately, to improve the wellbeing of the patients, the Chinese Society of Oral and Maxillofacial Surgery (CSOMS) convened an expert panel specialized in MORN from 16 domestic medical colleges and affiliated hospitals to discuss the spectrum of diagnosis and and formulate treatment. In addition, consensus recommendations were also revised with a comprehensive literature review of the previous treatment experiences and research pearls. This ‘expert consensus statement on diagnosis and clinical management of MORN’ is for clinical reference. © 2019
收录类别:SCOPUS
资源类型:期刊论文
原文链接:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069601265&doi=10.1016%2fj.ijom.2019.06.015&partnerID=40&md5=2acc3163b3ce2b9a5664f54af6dbfe91
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