par Dor, Pierre 
Référence Acta chirurgica Belgica (Ed. bilingue), 79, 1, page (21-26)
Publication Publié, 1980
Référence Acta chirurgica Belgica (Ed. bilingue), 79, 1, page (21-26)
Publication Publié, 1980
Article révisé par les pairs
| Résumé : | 126 patients underwent a mandibular resection (segmental or marginal) as a part of the treatment of a malignant lesion. The surgical morbidity is increased by the preoperative high-dose irradiation. Complications such as osteitis and/or fracture of the mandible were noted in 31 cases (a total of 80) who underwent a preoperative external irradiation with a tumor-dose of 5,500 rads or higher, whereas only in 8 cases (a total of 46) without such preoperative radiotherapy. Prophylactic antibiotics, the use of flaps to replace the buccal mucosa without any suture-tension, replacement of the mandible by a low profile stainless steel prosthesis are advocated to reduce studying postoperative complications. |
