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Strategies for prevention and treatment of head and neck radiotherapy complications (CROSBI ID 610924)

Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija

Alajbeg, Ivan ; Andabak Rogulj, Ana ; Bakale Hodak, Iva ; Gršić, Krešimir ; Pastorčić Grgić, Marija ; Stubljar, Boris Strategies for prevention and treatment of head and neck radiotherapy complications // Supportive care in cancer. 2012. str. 230-231

Podaci o odgovornosti

Alajbeg, Ivan ; Andabak Rogulj, Ana ; Bakale Hodak, Iva ; Gršić, Krešimir ; Pastorčić Grgić, Marija ; Stubljar, Boris

engleski

Strategies for prevention and treatment of head and neck radiotherapy complications

Introduction: Oral complications of oral, head and neck cancer (OHNC) radiotherapy (RT) are responsible for increased morbidity, mortality and treatment costs as the oral mucosa, salivary glands and jaws are commonly included in the radiotherapy filed. In Croatia, since recently, OHNC patients receive organized dental treatment for improving compliance to RT, minimizing short- term and minimizing /preventing long-term RT- associated oral complications, including mucositis, xerostomia, radiation caries, osteoradionecrosis and trismus. Objectives: We reflect on our experiences on oral treatment of OHNC patients and on the pilot results of an irradiation- caries prevention protocol. Methods: We assessed 29 OHNC patients seen for dental treatment, the procedures performed, timing in relation to RT, compliance to follow-up, major oral complications and the obstacles perceived. Furthermore, we started strict a caries prevention protocol pilot on three patients using Fluor protector applied on a biwekly basis/first 3 months and monthly/second 3 months+use of Cervitec gel and Cervitec liquid at home on a daily basis. Mutans streptococci, lactobacilli and saliva buffering capacity were assessed at baseline and after the third and sixth months. Demineralising lesions were assessed by clinical inspection and Diagnodent during each visit. Quality of life (OHIP-14) and symptom check inventory supplemented the clinical findings. Results: The results helped in identifying obstacles and shortcomings of medical care and pointed on weak spots that need reassessing. The pilot results showed good compliance and outcomes of strict anti-caries protocols. Conclusions: Introduction of oral health management in OHNC patients is demanding and is a slowly developing preocess, but its impact on patients' well-being and treatment costs is great.

prevention ; treatment ; head and neck radiotherapy complications

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Podaci o prilogu

230-231.

2012.

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objavljeno

Podaci o matičnoj publikaciji

Supportive care in cancer

Springer

0941-4355

Podaci o skupu

International Symposium on Supportive Care in Cancer

poster

28.06.2012-30.06.2012

New York City (NY), Sjedinjene Američke Države

Povezanost rada

Dentalna medicina

Indeksiranost