Barak S, Rosenblum I, Czerniak P, Arieli J
Dental and Oral Surgery Department, Maccabi Sick Fund, Tel Aviv Israel.
Int J Oral Maxillofac Surg. 1988 Aug;17(4):253-6. doi: 10.1016/s0901-5027(88)80051-1.
Osteoradionecrosis, complicated by pathologic fracture and osteomyelitis, is difficult to treat. Electromagnetic stimulation therapy may present a solution to this problem. A case of a 66-year old woman, suffering from osteoradionecrosis, pathologic fracture and osteomyelitis of the mandible, 6 years after irradiation therapy and partial resection of the mandible for squamous cell carcinoma of the gingiva, treated by electromagnetic stimulation, is presented. After 9 months of treatment, the patient was asymptomatic. Radiographic examination and bone scintigraphy carried out upon termination of the treatment, proved that healing of osteoradionecrosis and osteomyelitis had occurred. As far as we know, no previous reports have been published regarding this type of treatment.
放射性骨坏死,并发病理性骨折和骨髓炎,治疗困难。电磁刺激疗法可能为解决这一问题提供一种方案。本文介绍了一例66岁女性患者,因牙龈鳞状细胞癌接受放射治疗及下颌骨部分切除术后6年,出现下颌骨放射性骨坏死、病理性骨折和骨髓炎,接受了电磁刺激治疗。治疗9个月后,患者无症状。治疗结束时进行的影像学检查和骨闪烁显像证明,放射性骨坏死和骨髓炎已愈合。据我们所知,此前尚无关于此类治疗的报道。