What is the standard initial treatment for Osteoradionecrosis?

The standard initial treatment for osteoradionecrosis typically involves conservative management, including sequestrectomy. This approach focuses on removing necrotic bone while attempting to preserve as much healthy tissue as possible. Sequestrectomy allows for the drainage of any associated infection and has the potential to promote healing in the surrounding area.

Conservative treatment is prioritized, especially in the early stages of osteoradionecrosis, to avoid more invasive interventions that might exacerbate the condition. Surgical resection and immediate surgical interventions are reserved for more advanced cases where conservative methods have failed, or if significant systemic complications are present. Antibiotic coverage may be part of the treatment plan but is not the initial modality for managing osteoradionecrosis, as antibiotics alone do not address the underlying necrotic bone issue.