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- ArticleFriedlander AH, Mazzarella L, Kisner A.J Oral Surg. 1979 Jul;37(7):504-7.A case of progressive osteoradionecrosis after cobalt-60 radiation has been presented. A rational, but aggressive, treatment has been described. The morbidity of the procedure is minimal when proper instrumentation is available. The postoperative results are esthetically pleasing because, with radiation, there is so much fibrosis that facial contour is satisfactory even after a hemimandibulectomy.