AI Article Synopsis

  • Osteoradionecrosis (ORN) is a condition that can occur in the jaw after radiation therapy for head and neck cancer, and it can lead to exposure of necrotic bone.
  • A case study reported a 72-year-old man with ORN of the torus mandibularis, where traditional surgical options may be difficult.
  • The patient was treated successfully with antimicrobial photodynamic therapy (aPDT), resulting in the healing of the affected area without surgery over a period of 5 weeks, and no recurring issues were noted after 6 months.

Article Abstract

Osteoradionecrosis (ORN) of the jaws is a late complication after radiotherapy to head and neck cancer. To describe a rare case of ORN of the torus mandibularis that was successfully managed exclusively with antimicrobial photodynamic therapy (aPDT). A 72-year-old man presented an exposed necrotic bone observed in the torus mandibularis, extending to the lingual alveolar ridge with no edema nor suppuration. The treatment provided a noninvasive treatment leading to spontaneous sequestrectomy of the torus in 2 weeks with complete mucosal repair in 5 weeks and absence of lesion signs and/or symptoms even after 6 months of follow-up. The aPDT indicated to be a satisfactory treatment for ORN affecting torus mandibularis, a region with surgical limitations, avoiding surgery.

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http://dx.doi.org/10.1089/photob.2023.0173DOI Listing

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