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Semin Plast Surg 2020; 34(04): 265-271
DOI: 10.1055/s-0040-1721763
Review Article

Radiation Necrosis of the Lateral Skull Base and Temporal Bone

Marc W. Herr
1   Department of Head and Neck Oncologic Surgery & Microvascular Reconstruction, Madigan Army Medical Center, Tacoma, Washington
,
Aurora G. Vincent
2   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Meghan A. Skotnicki
3   Department of Otolaryngology - Head and Neck Surgery, Kettering Health Network, Dayton, Ohio
,
Yadranko Ducic
2   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Spiros Manolidis
4   Neurotology, Head and Neck Surgery, Fort Worth, Texas
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Abstract

Radiation therapy plays a critical role in the treatment of malignancies involving the head and neck. Although the therapeutic effects of ionizing radiation are achieved, normal tissues are also susceptible to injury and significant long-term sequelae. Osteoradionecrosis of the temporal bone (ORNTB) is among the many complications that can arise after therapy. ORNTB is a debilitating and potentially lethal condition that continues to challenge patients and treating physicians. Herein, we review the pathophysiology, presentation, work-up, and management of ORNTB.

Keywords

osteoradionecrosis - temporal bone cancer - head and neck cancer - reconstructive surgery

Disclosures

The authors have no financial disclosures. The work herein does not necessarily represent the views of the United States Army or Department of Defense.




Publication History

Article published online:
24 December 2020

© 2020. Thieme. All rights reserved.

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