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放射性颌骨骨髓炎(radioactive osteomyelitis of jaws,ROJ)是头颈部放射治疗后最严重的并发症之一,其发病率为1%~3%[1,2],该病常因颌骨缺损,软组织的坏死溃烂,甚至形成瘘管,临床表现为张口受限、疼痛、恶臭等,严重影响患者的生存质量。放射性下颌骨骨髓炎治疗方法众多,游离腓骨肌皮瓣治疗ROJ也有较多学者报道。现就我科2009—2013年收治的6
Radioactive osteomyelitis of jaws (radioactive osteomyelitis of jaws, ROJ) is one of the most serious complications after head and neck radiotherapy, the incidence rate of 1% to 3% [1,2], the disease often due to jaw defects , Necrosis of soft tissue festering, and even the formation of fistula, the clinical manifestations of mouth restriction, pain, bad breath, etc., seriously affect the quality of life of patients. Radioactive mandibular osteomyelitis treatment of many, free fibula myocutaneous flap treatment of ROJ also more scholars report. Now my department 2009-2013 admitted 6