Challenges of an unusual Osteoradionecrosis of the jaws: case report

Detalhes bibliográficos
Autor(a) principal: Sousa , Susiane Silva de
Data de Publicação: 2021
Outros Autores: Cerqueira, Bruno Antônio Veloso, Pimentel, Antônio Lucas Castro, Dantas, Juliana Borges de Lima, Marchionni, Antônio Márcio Teixeira, Medrado, Alena Ribeiro Alves Peixoto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/19632
Resumo: Osteoradionecrosis (ORN) is the most worrying radiotherapy late complication. It is a condition in which the irradiated bone becomes devitalized and exposed through fistulas in the skin or mucosa. It remains without healing for a period of at least three months. Despite being a well-known entity to the professionals who treat neoplasms of the head and neck, the disease has many controversies. From its classifications to its best treatment plan. Its main signs and symptoms are pain, drainage of secretion, fistulas, ulcers of the oral mucosa, bone exposure, bone necrosis, and the surrounding soft tissue. This study aims to report a clinical case of a patient with ORN in the jaw treated at Bahiana School of Medicine and Public Health and the General Roberto Santos Hospital. A 60-year-old-male patient with a malignant neoplasm in the tonsil region, was diagnosed with ORN in mandible region, three years after radiotherapy. The treatment proposal was conservative (ozone therapy, hyperbaric oxygen and chlorexidine mouth rinse) associated with surgical debridement, with good results that involved the patient’s rehabilitation.  It is concluded that the association of conservative therapies with surgery demonstrated satisfactory results and improving the quality of life of cancer patients with ORN.
id UNIFEI_d5f2b182e9e4ea29879d771ae88027d3
oai_identifier_str oai:ojs.pkp.sfu.ca:article/19632
network_acronym_str UNIFEI
network_name_str Research, Society and Development
repository_id_str
spelling Challenges of an unusual Osteoradionecrosis of the jaws: case reportDesafíos de una Osteorradionecrosis inusual de los maxilares: reporte de un casoDesafios de Osteorradionecrose incomum dos ossos maxilares: relato de casoNeoplasiasRadioterapiaOsteorradionecrose.NeoplasiasRadioterapiaOsteoradionecrosis.NeoplasmsRadiotherapyOsteoradionecrosis.Osteoradionecrosis (ORN) is the most worrying radiotherapy late complication. It is a condition in which the irradiated bone becomes devitalized and exposed through fistulas in the skin or mucosa. It remains without healing for a period of at least three months. Despite being a well-known entity to the professionals who treat neoplasms of the head and neck, the disease has many controversies. From its classifications to its best treatment plan. Its main signs and symptoms are pain, drainage of secretion, fistulas, ulcers of the oral mucosa, bone exposure, bone necrosis, and the surrounding soft tissue. This study aims to report a clinical case of a patient with ORN in the jaw treated at Bahiana School of Medicine and Public Health and the General Roberto Santos Hospital. A 60-year-old-male patient with a malignant neoplasm in the tonsil region, was diagnosed with ORN in mandible region, three years after radiotherapy. The treatment proposal was conservative (ozone therapy, hyperbaric oxygen and chlorexidine mouth rinse) associated with surgical debridement, with good results that involved the patient’s rehabilitation.  It is concluded that the association of conservative therapies with surgery demonstrated satisfactory results and improving the quality of life of cancer patients with ORN.En cuanto al tratamiento de las neoplasias de cabeza y cuello, la osteorradionecrosis (ORN) es la complicación tardía de la radioterapia más preocupante. Es una condición en la que el hueso irradiado se desvitaliza y queda expuesto a través de fístulas en la piel o mucosas. Permanece sin curar durante un período de al menos tres meses. A pesar de ser una entidad conocida por los profesionales que tratan las neoplasias de cabeza y cuello, la enfermedad tiene muchas controversias, desde sus clasificaciones hasta su mejor plan de tratamiento. Sus principales signos y síntomas son dolor, drenaje de secreciones, fístulas, úlceras de la mucosa oral, exposición ósea, necrosis ósea y tejido blando circundante. Este estudio tiene como objetivo reportar un caso clínico de un paciente con ORN en la mandíbula atendido en la Facultad de Medicina y Salud Pública de Bahía y en el Hospital General Roberto Santos. Paciente masculino, 60 años, con neoplasia maligna en región amigdalina, diagnosticado de ORN en región mandibular, tres años después de la radioterapia. La propuesta de tratamiento fue conservadora (ozoterapia, oxígeno hiperbárico y colutorio con clorexidina) asociado al desbridamiento quirúrgico, con buenos resultados que implicó la rehabilitación de los pacientes. Se concluye que las regiones con dificultades de cicatrización acompañadas de destrucción ósea después de la radioterapia deben ser investigadas cuidadosamente para un buen pronóstico de la enfermedad.Em relação ao tratamento das neoplasias de cabeça e pescoço, a osteorradionecrose (ORN) é a complicação tardia mais preocupante da radioterapia. É uma condição em que o osso irradiado se torna desvitalizado e exposto através de fístulas na pele ou mucosa, além de permanecer sem cicatrização por um período mínimo de três meses. Apesar de ser uma condição conhecida pelos profissionais que tratam essas neoplasias, se trata de uma doença muito controversa, desde sua classificação até o plano de tratamento mais adequado. Seus principais sinais e sintomas são dor, drenagem de secreção, fístulas, úlceras da mucosa oral, exposição óssea e necrose do osso e dos tecidos moles circundantes. Este estudo tem como objetivo relatar um caso clínico de paciente com ORN em mandíbula atendido na Escola Bahiana de Medicina e Saúde Pública e no Hospital Geral Roberto Santos. Paciente masculino, 60 anos, portador de neoplasia maligna em região amigdaliana, foi diagnosticado com ORN em mandíbula, três anos após radioterapia. Foi realizado tratamento conservador (ozonioterapia, oxigenação hiperbárica e enxaguante bucal com clorexidina) associado ao desbridamento cirúrgico, com resultados positivos através da reabilitação dos pacientes. Pode-se concluir que a associação de terapias conservadoras com a cirurgia demonstrou resultados satisfatórios, além de melhorar a qualidade de vida de pacientes oncológicos diagnosticados com ORN.Research, Society and Development2021-08-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1963210.33448/rsd-v10i11.19632Research, Society and Development; Vol. 10 No. 11; e181101119632Research, Society and Development; Vol. 10 Núm. 11; e181101119632Research, Society and Development; v. 10 n. 11; e1811011196322525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/19632/17410Copyright (c) 2021 Susiane Silva de Sousa ; Bruno Antônio Veloso Cerqueira; Antônio Lucas Castro Pimentel; Juliana Borges de Lima Dantas; Antônio Márcio Teixeira Marchionni; Alena Ribeiro Alves Peixoto Medradohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa , Susiane Silva deCerqueira, Bruno Antônio Veloso Pimentel, Antônio Lucas CastroDantas, Juliana Borges de LimaMarchionni, Antônio Márcio TeixeiraMedrado, Alena Ribeiro Alves Peixoto2021-10-23T19:01:11Zoai:ojs.pkp.sfu.ca:article/19632Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:29.980240Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Challenges of an unusual Osteoradionecrosis of the jaws: case report
Desafíos de una Osteorradionecrosis inusual de los maxilares: reporte de un caso
Desafios de Osteorradionecrose incomum dos ossos maxilares: relato de caso
title Challenges of an unusual Osteoradionecrosis of the jaws: case report
spellingShingle Challenges of an unusual Osteoradionecrosis of the jaws: case report
Sousa , Susiane Silva de
Neoplasias
Radioterapia
Osteorradionecrose.
Neoplasias
Radioterapia
Osteoradionecrosis.
Neoplasms
Radiotherapy
Osteoradionecrosis.
title_short Challenges of an unusual Osteoradionecrosis of the jaws: case report
title_full Challenges of an unusual Osteoradionecrosis of the jaws: case report
title_fullStr Challenges of an unusual Osteoradionecrosis of the jaws: case report
title_full_unstemmed Challenges of an unusual Osteoradionecrosis of the jaws: case report
title_sort Challenges of an unusual Osteoradionecrosis of the jaws: case report
author Sousa , Susiane Silva de
author_facet Sousa , Susiane Silva de
Cerqueira, Bruno Antônio Veloso
Pimentel, Antônio Lucas Castro
Dantas, Juliana Borges de Lima
Marchionni, Antônio Márcio Teixeira
Medrado, Alena Ribeiro Alves Peixoto
author_role author
author2 Cerqueira, Bruno Antônio Veloso
Pimentel, Antônio Lucas Castro
Dantas, Juliana Borges de Lima
Marchionni, Antônio Márcio Teixeira
Medrado, Alena Ribeiro Alves Peixoto
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sousa , Susiane Silva de
Cerqueira, Bruno Antônio Veloso
Pimentel, Antônio Lucas Castro
Dantas, Juliana Borges de Lima
Marchionni, Antônio Márcio Teixeira
Medrado, Alena Ribeiro Alves Peixoto
dc.subject.por.fl_str_mv Neoplasias
Radioterapia
Osteorradionecrose.
Neoplasias
Radioterapia
Osteoradionecrosis.
Neoplasms
Radiotherapy
Osteoradionecrosis.
topic Neoplasias
Radioterapia
Osteorradionecrose.
Neoplasias
Radioterapia
Osteoradionecrosis.
Neoplasms
Radiotherapy
Osteoradionecrosis.
description Osteoradionecrosis (ORN) is the most worrying radiotherapy late complication. It is a condition in which the irradiated bone becomes devitalized and exposed through fistulas in the skin or mucosa. It remains without healing for a period of at least three months. Despite being a well-known entity to the professionals who treat neoplasms of the head and neck, the disease has many controversies. From its classifications to its best treatment plan. Its main signs and symptoms are pain, drainage of secretion, fistulas, ulcers of the oral mucosa, bone exposure, bone necrosis, and the surrounding soft tissue. This study aims to report a clinical case of a patient with ORN in the jaw treated at Bahiana School of Medicine and Public Health and the General Roberto Santos Hospital. A 60-year-old-male patient with a malignant neoplasm in the tonsil region, was diagnosed with ORN in mandible region, three years after radiotherapy. The treatment proposal was conservative (ozone therapy, hyperbaric oxygen and chlorexidine mouth rinse) associated with surgical debridement, with good results that involved the patient’s rehabilitation.  It is concluded that the association of conservative therapies with surgery demonstrated satisfactory results and improving the quality of life of cancer patients with ORN.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19632
10.33448/rsd-v10i11.19632
url https://rsdjournal.org/index.php/rsd/article/view/19632
identifier_str_mv 10.33448/rsd-v10i11.19632
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19632/17410
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 11; e181101119632
Research, Society and Development; Vol. 10 Núm. 11; e181101119632
Research, Society and Development; v. 10 n. 11; e181101119632
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052687788802048