BackTable / ENT / Podcast / Episode #237

Approaches to Mandibular Osteoradionecrosis 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 Agan to discuss osteoradionecrosis (ORN) of the mandible.

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Approaches to Mandibular Osteoradionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost on the BackTable ENT Podcast

Ep 237 Approaches to Mandibular Osteoradionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost

00:00 / 01:04

BackTable, LLC (Producer). (2025, August 26). Ep. 237 – Approaches to Mandibular Osteoradionecrosis Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Ashley Agan

Dr. Ashley Agan is an otolaryngologist in Dallas, TX.

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.

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/

The Materials available on BackTable 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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Articles

Topics

Osteoradionecrosis (ORN) Condition Overview

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