The management of ORN has become similar to the approach used for treating malignancies of the head and neck. The workup of ORN should include imaging studies, i.e. high resolution CT and panorex films, and a meticulous physical examination. The patient’s disease is staged based on symptomatology, imaging, and physical examination findings. Currently, the published literature does not provide us with a definitive treatment strategy for each stage of disease. We are currently working on developing a new staging system based on the aforementioned parameters which we feel will help us develop a more effective treatment algorithm.