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BackTable / ENT / Podcast / Episode #237
Approaches to Mandibular Osteo Radionecrosis Management
with Dr. Eli Gordin and Dr. Ariel Frost
Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Again to discuss osteoradionecrosis (ORN) of the mandible.
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BackTable, LLC (Producer). (2025, August 26). Ep. 237 – Approaches to Mandibular Osteo Radionecrosis Management [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Ariel Frost
Dr. Ariel Frost is an otolaryngologist and Assistant Professor at UT Southwestern Medical Center in Dallas, Texas.
Dr. Eli Gordin
Dr. Eli Gordin is an otolaryngologist, head and neck surgeon, facial plastic surgeon, and assistant professor with the department of otolaryngology at UT Southwestern in Dallas, Texas.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Synopsis
The discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed.
Timestamps
00:00 - Introduction
01:26 - Understanding Osteoradionecrosis (ORN)
08:49 - Clinical Presentation of ORN
13:56 - Diagnosis and Imaging
16:58 - Staging and Treatment Options
27:39 - Conservative Therapy for ORN
37:19 - Understanding Disease Progression and Imaging
39:46 - Exploring the Rescue Flap Technique
52:46 - Post-Operative Care and Recovery
59:20 - Advanced Stages and Bone Grafting
01:13:38 - Cost Effectiveness and Referral Guidelines
Resources
Dr. Ariel Frost
https://utswmed.org/doctors/ariel-frost/
Dr. Eli Gordin
https://utswmed.org/doctors/eli-gordin/
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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