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Is anyone experiencing osteoradionecrosis (ORN)?

Head & Neck Cancer | Last Active: Sep 16 6:20am | Replies (37)

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Profile picture for m0h1pp @m0h1pp

I've had ORN after right lateral mandible was excised and reconstructed using bone from left fibula. Will have reconstruction. Three possible surgeries to choose from: Not replacing mandible with bone but filling with free flap; replacing with acapula; or replacing with right fibula. Models being constructed but leaning toward gueling third option because it could offer the most functional relief.

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Replies to "I've had ORN after right lateral mandible was excised and reconstructed using bone from left fibula...."

Hello @m0h1pp I am trying to understand what you are facing. Are you having a second reconstruction due to failure or perhaps poor initial surgery? And "filling" with free flap I don't understand as well. Typically the bone is replaced with bone and attached quality free flap which is meticulously connected to the blood supply to keep it all alive and healing. This entire procedure is highly technical and normally done at only a handful of centers in North America, Europe, and Asia although I understand some local surgeons try to give it a go as it were. I hope that isn't the case for you. Do you have some background?