Tratamento da osteorradionecrose dos maxilares

Abstract

INTRODUCTION: Osteoradionecrosis of the head and neck is associated with the treatment of neoplasms in this region. The treatment of osteoradionecrosis in the head and neck region usually involves surgery, in addition, several factors are considered in the treatment, consisting of a challenge both for the patient and the multidisciplinary team. Despite the various therapeutic modalities, there is no consensus in the literature on the most effective form of treatment for this important side effect of anticancer therapy. OBJECTIVES: To identify, through a literature review, the best method of treating osteoradionecrosis. METHODOLOGY: The present study was constituted in order to examine and describe different means of treatment of osterradionecrosis performed through a literature review; RESULTS: Osteoradionecrosis is a bone necrosis due to hypovascularization, hypoxia, tissue hypocellularization and high doses of radiation, it is closely related to the doses of radiation used, tumor staging, periodontal diseases and tooth extractions. In the present literature review, we verified that there are several therapeutic methods proposed, mainly due to the challenging treatment of the disease, which has an unfavorable prognosis, in most cases. In more recent studies, conservative therapies such as hyperbaric oxygen therapy and photobiomodulation tend to be more used. There is also described the use of drugs based on vitamins and surgical treatments. CONCLUSION: A variety of treatments have been described, but hyperbaric oxygen therapy and photobiomodulation are promising treatments.