Mandibular osteoradionecrosis with fracture

Case contributed by Prof Oliver Hennessy

Presentation

Sudden onset jaw pain. PH SCC floor of mouth treated with adjunct DXT

Patient Data

Age: 61
Gender: Male
Modality: X-ray

Changes of osteonecrosis of the mandible. New finding since last OPG is there presence of a fracture

Six months prior

Modality: X-ray

There are changes of lysis and sclerosis involving the mid mandible on the right compatible with changes of previous radiotherapy.

Case Discussion

Many cancers of the oral cavity are treated with adjunct radiotherapy. Complications encountered in the mandible include radiation necrosis, infection and fractures.

Bone complications are best assessed with CT. Soft tissue involvement of infection or recurrence of an oral cancer is best imaged with contrast enhanced MRI.

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Case Information

rID: 33517
Case created: 15th Jan 2015
Last edited: 8th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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