Which treatment option is considered in severe cases of Osteoradionecrosis?

In severe cases of Osteoradionecrosis, sequestrectomy is often the chosen treatment option. This procedure involves the surgical removal of necrotic (dead) bone tissue. Osteoradionecrosis is a complication that can occur after radiation therapy, where the bone becomes compromised due to inadequate blood supply, leading to tissue death and potentially resulting in significant pain and infection.

Sequestrectomy aims to enhance healing by removing the non-viable tissue, thereby allowing for better perfusion and the potential for new bone to form in the affected area. It directly addresses the underlying issue of necrosis and seeks to restore the function and integrity of the jawbone.

Other treatment options like immediate surgery may not be appropriate in all cases, especially if the necrosis is extensive or if the patient has other health concerns. High-dose antibiotics may be utilized to manage infection, but they do not resolve the necrotic bone issue. Radiation therapy, on the other hand, is contraindicated in cases of Osteoradionecrosis since it can worsen the condition by further damaging healthy tissue. Therefore, sequestrectomy is the most effective direct intervention for severe cases of this condition.