What Researchers Did
Researchers described a cost-effective approach for advanced craniofacial osteoradionecrosis by reviewing outcomes and costs for 15 patients treated with radical resection and immediate microvascular free flap reconstruction.
What They Found
Most cases (60%) involved the mandible, with the fibula being the flap of choice (73%), and the median follow-up was 14 months with 13% complications. While simultaneous resection and reconstruction cost $30,030, the average total relative cost per patient was $55,040 due to prior conservative therapies costing $25,010.
What This Means for Canadian Patients
For Canadian patients with advanced craniofacial osteoradionecrosis, this study suggests that definitive surgical treatment with free flap reconstruction can be a viable option. While initial costs for this surgery are significant, it may offer a definitive solution, potentially reducing long-term costs associated with failed conservative therapies.
Canadian Relevance
This study was conducted in the United States and has no direct Canadian connection.
Study Limitations
The study's limitations include a small sample size of 15 patients and a relatively short median follow-up of 14 months.