Management of oral complications in irradiated head and neck cancer patients: Literature review

Hameed, Muhammad Hasan; Zafar, Kamil; Ghafoor, Robia

doi:10.4103/ijssr.ijssr_6_18

Cited by 5 publications

(5 citation statements)

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“…A signi cant interaction was observed between the OM severity and use of uoride was also observed in the analysis, suggesting improvement in the OHRQoL due to decrease in the severity of OM by the use of uoride, this is also supported by (27) which recommends that the use of high uoride tooth paste, uoride gel or uoride mouthwash prescribed to patients during and after their cancer treatment can reduce the severity of OM, however, very few patients are recommended and educated on the bene ts of using uoride containing products in our population mainly because there is lack of patient centric or a holistic approach for healing and not much attention is given on rehabilitation of oral symptoms.…”

Section: Discussionsupporting

confidence: 56%

Assessment of Oral health related quality of life and its associated factors in head and neck cancer survivors, within one-year, post cancer treatment. A cross-sectional study

Farrukh,

Rozi,

Sawani

et al. 2023

Preprint

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Background Patients after completing their treatment for HNC, are often functionally challenged by the acute and chronic complications in the oral cavity such as oral pain, limited mouth opening, xerostomia etc. These complications are known to reduce their OHRQoL, because of restricted food intake, limited social activity and economic growth, therefore impacting their overall well-being and survival. This study aims to assess the OHRQoL and its associated sociodemographic factors, oral hygiene related factors and oral clinical parameters such as OH status and OM grade in HNC survivors within one-year post cancer treatment.Methodology This was a cross-sectional study performed among HNC survivors at the ENT and dental clinics of Aga Khan University Hospital, Karachi. OHRQoL was assessed using EORTC QLQ H&N – 35, patients were examined for oral hygiene status using OHI- simplified and oral mucositis grade using WHO oral mucositis scale at one point in time. One sample t- test and multiple linear regression was used to test OHRQoL and its associations with the sociodemographic and clinical factors.Results The results of the study showed an overall higher mean score for OHRQoL of 25.02 ± 15.86 (95% CI 21.46–28.57), with difficulty in mouth opening and dry mouth because of salivary dysfunction among the most affected domains with higher symptoms scores in the study population. Significant association of OHRQoL were found with BMI, OH status, marital status, monthly income, gender and fluoride toothpaste use in HNC patients within one-year post cancer treatment (p < 0.05).Conclusion: High mean score for OHRQoL in HNC patients suggests their QoL is negatively impacted by their poor oral health post cancer treatment, therefore it is important to evaluate and modify the current treatment modalities and involve multidisciplinary teams, to improve their OHRQoL thereby enhancing overall QoL.

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Section: Discussionsupporting

confidence: 56%

Assessment of Oral health related quality of life and its associated factors in head and neck cancer survivors, within one-year, post cancer treatment. A cross-sectional study

Farrukh,

Rozi,

Sawani

et al. 2023

Preprint

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“…This finding is unexpected, given the studies have reported that symptoms of OM typically abate or become mild within a three-month period following cancer treatment 19 , 36 . A significant association between the oral mucositis severity and use of fluoride was also observed, suggesting improvement in the OHRQoL due to decrease in the severity of mucositis by the use of fluoride toothpaste, this is also supported by 37 which recommended that the use of high fluoride tooth paste, fluoride gel or fluoride mouthwash prescribed to patients during and after their cancer treatment could reduce the severity of mucosal inflammation. This recommendation highlights that fluoride toothpastes are cost effective way to improve oral health post radiation treatment.…”

Section: Discussionmentioning

confidence: 68%

Oral health related quality of life in head and neck cancer survivors within the first year following treatment: a cross-sectional study in Karachi, Pakistan

Qamar,

Rozi,

Sawani

et al. 2024

Sci Rep

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After completing treatment for head and neck cancer (HNC), patients often face oral complications like oral pain, limited mouth opening and dry mouth which significantly reduce their oral health related quality of life (OHRQoL). These issues impact their overall well-being, social activities and long-term survival. The primary objective of this study was to evaluate OHRQoL and its association with sociodemographic characteristics, oral hygiene practices and oral clinical parameters such as oral hygiene status and oral mucositis grade in patients who have completed treatment for head and neck cancer. This cross-sectional study involved 79 HNC-treated patients within first year after completion of cancer treatment attending ENT and dental clinics at outpatient department (OPD) setting in Karachi. Data was collected electronically using structured questionnaire comprising of EORTC QLQ H&N – 35 to measure OHRQoL, patients were also examined for oral hygiene status using oral hygiene index- simplified (OHI-s) and oral mucositis grade using WHO oral mucositis scale. Multiple linear regression was used to test OHRQoL associations with the sociodemographic and different clinical factors. The result showed an overall mean score for oral health related quality of life (OHRQoL) of 25.02 ± 15.86 (95% CI 21.46–28.57), with difficulty in mouth opening 53.16 ± 18.88 and dry mouth 45.14 ± 24.48 being predominant concerns for decline in the OHRQoL in the population. Male predilection was observed among participants n = 60 (75.9%), majority of the participants n = 41 (51.9%) were below 52 years of age. n = 63 (80%) participants received radiotherapy alongside surgery and chemotherapy. Most of participants n = 66 (83.5%) experienced moderate to severe oral mucositis with poor oral hygiene status n = 56 (71%). Significant associations were found between OHRQoL and BMI, OH status, marital status, monthly income, gender and fluoride toothpaste (p < 0.05). These findings suggest that Quality of Life (QoL) among HNC treated patients is negatively impacted by their poor oral health, post cancer treatment. Therefore, it is important to evaluate and modify the current treatment modalities and involve multidisciplinary teams, to improve their OHRQoL thereby enhancing overall QoL.

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“…Depending on the disease's stage, head and neck cancer treatment can be quite difficult. Chemo-radiation therapy patients are vulnerable to a variety of short-and long-term problems, which have a negative impact on their health and quality of life (Hameed, Zafar & Ghafoor, 2018). One of the top five side effects of chemo-radiotherapy for patients with head and neck cancer is dysphagia, and it can linger for a very long time (De Felice et al,2018).…”

Section: 1significance Of the Studymentioning

confidence: 99%

Effectiveness of Prophylactic Swallowing Exercise on Dysphagia and Quality of Life among Head and Neck Cancer Patients Receiving Chemo- Radiotherapy

Zedan,

Nabih,

Soliman

2023

Mansoura Nursing Journal

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Background: Dysphagia is one of the most frequent side effects of chemo-radiotherapy for head and neck cancer, which has an adverse influence on the quality of life and health of survivors. Aim: This study aimed to evaluate the effectiveness of prophylactic swallowing exercise on dysphagia and quality of life among patients with head and neck cancer receiving chemo-radiotherapy. Method: A quasi-experimental research approach was conducted in radiotherapy department at Mansoura Nuclear Medicine Unit. Sample: A purposive sample of 60 head and neck cancer patients undergoing chemo-radiotherapy, was divided into two matched groups; study group and control group. Prophylactic swallowing exercise initiated before the start of chemo-radiotherapy and continued throughout the duration of their chemo-radiotherapy. Tools: A structured Interview Questionnaire, (EORTC) Quality-of-Life Questionnaire (QLQ-C30) and its Head and Neck Cancer Module (QLQH& N35) and Functional Oral Intake Scale (FOIS). Results: Head and neck cancer patients undergoing chemo-radiotherapy who received swallowing exercise experienced less dysphagia and improved quality of life compared to whom received routine care as there was a highly statistically significant differences between studied groups (p<0.001). Conclusion: Prophylactic swallowing exercise had a positive effect on dysphagia and quality of life in head and neck cancer patients undergoing chemo-radiotherapy. Recommendation: Head and neck cancer patients undergoing chemo-radiotherapy should be encouraged to perform the prophylactic swallowing exercise before and along the period of chemo-radiotherapy.

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Management of oral complications in irradiated head and neck cancer patients: Literature review

Cited by 5 publications

References 1 publication

Assessment of Oral health related quality of life and its associated factors in head and neck cancer survivors, within one-year, post cancer treatment. A cross-sectional study

Assessment of Oral health related quality of life and its associated factors in head and neck cancer survivors, within one-year, post cancer treatment. A cross-sectional study

Oral health related quality of life in head and neck cancer survivors within the first year following treatment: a cross-sectional study in Karachi, Pakistan

Effectiveness of Prophylactic Swallowing Exercise on Dysphagia and Quality of Life among Head and Neck Cancer Patients Receiving Chemo- Radiotherapy

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