Modified Submental Island Flap for the Surgical Treatment of Four Patients with Stage 3 Medication-Related Osteonecrosis of the Mandible

Medication-related osteonecrosis of the jaw (MRONJ) in its advanced stages requires surgical treatment to resolve the pathology and to achieve good long-term results. After complete removal of the necrotic bone and infected soft tissue, it is essential to cover the exposed bone using well-vascularized soft tissue such as local, regional, and microvascular free flaps. The purpose of this study was to evaluate the technical usefulness of the modified submental island flap (SIF) for covering the large bone and soft tissue defects of the mandible after decortication in patients with stage 3 MRONJ.

Source: Journal of Oral and Maxillofacial Surgery - September 13, 2019 Category: ENT & OMF Authors: Yoshinari Myoken, Yoshinori Fujita, Tetsuji Okamoto Tags: Technical Notes Source Type: research