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Mandibular osteoradionecrosis with fracture

Case contributed by Prof Oliver Hennessy


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

Patient Data

Age: 61
Gender: Male

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


Six months prior

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
Published: 16th Jan 2015
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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