ESTRO 2024 - Abstract Book

S1190

Clinical - Head & neck

ESTRO 2024

Keywords: Hypopharynx, swallowing, dysphagia

References:

1. Cooper, J.S., et al., National Cancer Database report on cancer of the head and neck: 10-year update. Head Neck, 2009. 31(6): p. 748-58.

2. Petruzzelli, G.J., Practical head and neck oncology. 2009, San Diego: Plural Publishing.

3.

Mahalingam, S., R. Srinivasan, and P. Spielmann, Quality-of-life and functional outcomes following

pharyngolaryngectomy: a systematic review of literature. Clin Otolaryngol, 2016. 41(1): p. 25-43.

4. Takes, R.P., et al., Current trends in initial management of hypopharyngeal cancer: the declining use of open surgery. Head Neck, 2012. 34(2): p. 270-81.

5. McQuestion, M., M. Fitch, and D. Howell, The changed meaning of food: Physical, social and emotional loss for patients having received radiation treatment for head and neck cancer. Eur J Oncol Nurs, 2011. 15(2): p. 145-51.

6. Denaro, N., M.C. Merlano, and E.G. Russi, Dysphagia in Head and Neck Cancer Patients: Pretreatment Evaluation, Predictive Factors, and Assessment during Radio-Chemotherapy, Recommendations. Clin Exp Otorhinolaryngol, 2013. 6(3): p. 117-26.

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Digital Poster

Advanced-fractured osteoradionecrosis in long-survivor ENT cancer patients: a medical challenge?

Sylvie DELANIAN

Hôpital Saint Louis, Oncologie-Radiothérapie-Radiopathologie, Paris, France

Purpose/Objective:

Mandibular osteoradionecrosis (ORN), limited in frequency today, is described in the literature on series of 22 to 87 patients, of which 60% of advanced cases including mucosal defect > 2.5 cm (or length > 2 teeth) and radiological depth of bone lysis beyond the inferior alveolar canal, with severe complications such as fracture, osteomyelitis, fistula, lower dental neuropathy. The treatment of these patients suffering with multiple co-morbidities (diabetes, neutropenia, HIV, ..) is always complex. Radical surgery as hemi-mandibulectomy - osteocutaneous free flap reconstruction is an option when the risk of serial postoperative complications is not too high.