PMC8200619_01
PMC8200619_02
PMC8200619_03
Stage 2 MRONJ. Clinical aspect of dehiscence in the operated area, 2 weeks after surgical intervention of removing the necrotic bone tissue by marginal resection of the mandible down to the clinically healthy bone (a). Radiological aspect of MRONJ (b)
CHSJ-47-01-117-fig1.jpg
PMC8200619_03_CHSJ-47-01-117-fig1.jpg
F1
Clinical images of mandibulectomy reconstruction with remote pectoralis major flap associated with primary reconstruction plate. Submandibular incision from the left mandibular angle to the right mandibular angle with the exposure of the entire mandibular body (a). Large area of bone necrosis in the anterior mandibular arch level (b). Segmental anterior mandibular resection (c). Resected fragment (d). Restoration of the contour of the mandibular arch with titanium primary reconstruction plate (e). Pectoralis major flap closing the resulting defect (f). Flap rotated in the oral cavity with the tegument part closing the endo-oral mucosa defect (g)
CHSJ-47-01-117-fig2.jpg
PMC8200619_03_CHSJ-47-01-117-fig2.jpg
F2
PMC8200619_04
PMC8200619_05
Intraoral aspect of healed mandibular area after 6 months from intervention (a). Intraoral aspect of healed mandibular area after 1 year from intervention (b)
CHSJ-47-01-117-fig3.jpg
PMC8200619_05_CHSJ-47-01-117-fig3.jpg
F3