Approaches to Mandibular Osteoradionecrosis Management w/ Drs. Ariel Frost & Eli Gordon |ENT Ep. 237 скачать в хорошем качестве

Approaches to Mandibular Osteoradionecrosis Management w/ Drs. Ariel Frost & Eli Gordon |ENT Ep. 237

Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible. --- SYNPOSIS The discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed. --- TIMESTAMPS 00:00 - Introduction 01:26 - Understanding Osteoradionecrosis (ORN) 08:49 - Clinical Presentation of ORN 13:56 - Diagnosis and Imaging 16:58 - Staging and Treatment Options 27:39 - Conservative Therapy for ORN 37:19 - Understanding Disease Progression and Imaging 39:46 - Exploring the Rescue Flap Technique 52:46 - Post-Operative Care and Recovery 59:20 - Advanced Stages and Bone Grafting 01:13:38 - Cost Effectiveness and Referral Guidelines --- RESOURCES Dr. Ariel Frost https://utswmed.org/doctors/ariel-frost/ Dr. Eli Gordin https://utswmed.org/doctors/eli-gordin/ --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. ► https://www.backtable.com/shows/ent/s... #ENT237 #headandneckcancer #osteonecrosis #otolaryngology