All Episodes

August 26, 2025 78 mins
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.---SYNPOSISThe 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.---TIMESTAMPS00:00 - Introduction 01:26 - Understanding Osteoradionecrosis (ORN)08:49 - Clinical Presentation of ORN13:56 - Diagnosis and Imaging16:58 - Staging and Treatment Options27:39 - Conservative Therapy for ORN37:19 - Understanding Disease Progression and Imaging39:46 - Exploring the Rescue Flap Technique52:46 - Post-Operative Care and Recovery59:20 - Advanced Stages and Bone Grafting01:13:38 - Cost Effectiveness and Referral Guidelines---RESOURCESDr. Ariel Frosthttps://utswmed.org/doctors/ariel-frost/Dr. Eli Gordin https://utswmed.org/doctors/eli-gordin/
Mark as Played

Advertise With Us

Popular Podcasts

Stuff You Should Know
Cardiac Cowboys

Cardiac Cowboys

The heart was always off-limits to surgeons. Cutting into it spelled instant death for the patient. That is, until a ragtag group of doctors scattered across the Midwest and Texas decided to throw out the rule book. Working in makeshift laboratories and home garages, using medical devices made from scavenged machine parts and beer tubes, these men and women invented the field of open heart surgery. Odds are, someone you know is alive because of them. So why has history left them behind? Presented by Chris Pine, CARDIAC COWBOYS tells the gripping true story behind the birth of heart surgery, and the young, Greatest Generation doctors who made it happen. For years, they competed and feuded, racing to be the first, the best, and the most prolific. Some appeared on the cover of Time Magazine, operated on kings and advised presidents. Others ended up disgraced, penniless, and convicted of felonies. Together, they ignited a revolution in medicine, and changed the world.

The Joe Rogan Experience

The Joe Rogan Experience

The official podcast of comedian Joe Rogan.

Music, radio and podcasts, all free. Listen online or download the iHeart App.

Connect

© 2025 iHeartMedia, Inc.