Management of refractory osteoradionecrosis of the jaws with surgery and adjunctive hyperbaric oxygen therapy

This retrospective study aimed to determine the effectiveness of surgery an d hyperbaric oxygen (HBO) treatment in the management of refractory osteora dionecrosis (ORN) of the jaws. Of the 18 patients who had undergone this tr eatment, 14 patients had complete healing, 3 patients had improved and one patient did not show any improvement. Of the 14 patients who had complete h ealing, only 4 still had a discontinuity defect of the mandible but they de clined additional reconstructive surgery In conclusion, surgery/HBO therapy showed satisfactory results in the management of refractory ORN of the jaw s.