Patel V, Ormondroyd L, Lyons A, McGurk M
Oral Surgery Dept, Floor 23, Guy's Dental Hospital, London Bridge, London, SE1 9RT.
Head and Neck Dept, Floor 3, Guy's Hospital, London Bridge, London, SE1 9RT.
Br Dent J. 2017 Feb 10;222(3):177-180. doi: 10.1038/sj.bdj.2017.121.
Osteoradionecrosis (ORN) remains a difficult clinical problem. In large refractory cases surgery appears to be the only option but it does not guarantee a cure and is expensive. Cost analysis of 31 patients who had resection with or without reconstruction of their mandible was £892,357. The largest cost was in-patient stay, which accounted for 62% of the total. This article explores in detail the expenditure associated with major ORN surgery and its subsequent implications.
放射性骨坏死(ORN)仍然是一个棘手的临床问题。在大型难治性病例中,手术似乎是唯一的选择,但它并不能保证治愈,而且费用高昂。对31例进行下颌骨切除或切除并重建手术的患者进行成本分析,结果为892,357英镑。最大的成本是住院费用,占总费用的62%。本文详细探讨了与ORN大手术相关的支出及其后续影响。