Recommended time gap between the radiation and surgery to avoid Osteoradionecrosis is ?
A.weeks after radiotherapy
B.6-12 months after radiotherapy
C.Immediately after radiotherapy
D.Any time during the course of radiotherapy
A.weeks after radiotherapy
B.6-12 months after radiotherapy
C.Immediately after radiotherapy
D.Any time during the course of radiotherapy
Ans. (None
or A)
The risk of
ORN though highest during 4 to 12 months after RT, has been found to persist
for the remainder of the
patient's life. Therefore atraumatic extractions are advocated.
Discussion-
The question specifically ask about the time after which extraction/surgery can
be performed after radiotherapy
without any risk of osteoradionecrosis. And according to present concepts the
risk of osteoradionecrosis
persist for whole of the life span, There is no specified period after which
the extraction can be considered
as safe. It is never recommended to extract after a specified period of time,
rather RCT should be done if possible.
Now, Why I am giving answer as (A) because it is directly picked up question
from MCa guide where
answer given
is (A).
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