Radiation-induced swallowing dysfunction in patients with head and neck cancer: A literature review

Chiu, Yi-Hsiang; Tseng, Wen‐Hsuan; Ko, Jenq‐Yuh; Wang, Tyng-Guey

doi:10.1016/j.jfma.2021.06.020

Cited by 16 publications

(11 citation statements)

References 97 publications

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“…These include mucositis, xerostomia, taste and salivary changes, trismus and odynophagia (pain on swallowing). 27,28 As part of an MDT, the role of the SLT is to counsel and guide people in optimising safe and efficient oral intake and mouth opening ability and to reduce the risk of long-term degradation to oral health and the consequences. 15…”

Section: Radiotherapy (With or Without Chemotherapy)mentioning

confidence: 99%

The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

et al. 2022

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Section: Radiotherapy (With or Without Chemotherapy)mentioning

confidence: 99%

The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

et al. 2022

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“…A patologia bucal apresenta um afeito negativo para a qualidade de vida do paciente e ao seu bem-estar. Nesse sentido, a odontologia torna-se importante para a manutenção da saúde oral do indivíduo, através de boas práticas educativas de higiene correta e para o diagnóstico e controle de lesões que afetam o meio bucal, contribuindo, dessa forma, para um tratamento adequado para as diversas doenças que podem surgir da cavidade bucal (Chiu et al 2021).…”

Section: Introductionunclassified

“…Na maioria dos casos, esses tipos de lesões apresentam sintomatologia dolorosa ao paciente, devido a perda da continuidade do epitélio oral gerando exposição das terminações nervosas. O nível de desconforto relatado pelo paciente acometido pelas ulceras é variável e dependem das características clinicas e histopatológicas da lesão presente na mucosa oral (Chiu et al 2021;Li et al 2017). Research, Society andDevelopment, v. 11, n. 9, e20411931702, 2022 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v11i9.31702 3 As úlceras orais, na maior parte dos casos, possuem aparência clínica similar, no entanto, a sua etiopatogenia pode ser variada, podendo ser uma manifestação de diversas patologias sistémicas, incluindo doenças reativas, infeciosas, imunológicas e neoplásicas.…”

Section: Introductionunclassified

Lesões erosivas e ulcerativas da mucosa oral: uma revisão da literatura

Fernandes

Rodrigues²,

Carneiro³

et al. 2022

RSD

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A patologia bucal apresenta um afeito negativo para a qualidade de vida do paciente e ao seu bem-esta. As lesões ulcerativas da mucosa oral consistem em um grupo de entidades de alta recorrência e prevalência. Na maioria dos casos, esses tipos de lesões apresentam sintomatologia dolorosa ao paciente, devido a perda da continuidade do epitélio oral gerando exposição das terminações nervosas. Diante do exposto, esse estudo objetivou revisar a literatura acerca lesões erosivas e ulcerativas da mucosa oral, destacando sua apresentação clínica, diagnóstico e tratamento, bem como a importância de um correto manejo clínico em pacientes que possuem tais lesões na cavidade oral. Para a construção deste artigo foi feito um levantamento bibliográfico nas bases de dados SciVerse Scopus, Scientific Eletronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) e ScienceDirect, usando o gerenciador de referências Mendeley. A ulceração na cavidade bucal representa uma lacuna na espessura total no revestimento do epitélio. Possuem muitas causas para o acometimento das úlceras orais e o diagnóstico ainda representa um desafio para grande parte do cirurgiões-dentistas. A partir deste estudo, pode-se notar que as lesões erosivas e ulcerativas dos tecidos moles comumente vistas na cavidade oral tendem a se sobrepor em seu início, apresentação e localização, o que torna difícil avaliar se a etiologia é inflamatória, imunológica, traumática, infecciosa ou neoplásica. Obter a história detalhada do paciente aliado ao exame físico das lesões pode oferecer suspeita de condições ou doenças associadas; se há ou não um fator desencadeante; lesão nova ou recorrente; sintomatologia presente ou ausente; tempo de permanência de lesão; taxa de crescimento da lesão ao decorrer do tempo.

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“…Dry mouth increases the risk of dental staining and discoloration as a result of enamel erosion and increased levels of plaque and food debris on the teeth. The problem of xerostomia after irradiation includes moderate to a severe loss of tooth structure, erosive pitting lesions, and also the use of chlorhexidine to prevent the formation of early caries and periodontal disease, which can also lead to severe tooth discoloration (23)(24)(25), so the need for bleaching after irradiation treatment is sometimes required. There is also an increase in the number of young people with head and neck cancer who want to still have healthy and white teeth even after the radiotherapy and to maintain a quality life.…”

Section: Introductionmentioning

confidence: 99%

Direct Radiotherapy-Induced Effects on Dental Hard Tissue in Combination With Bleaching Procedure

Sever

Tarle²,

Soče

et al. 2021

Front. Dent. Med

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Introduction: The aim of this study was to evaluate the effects of radiation and tooth bleaching on the physical and morphological properties of enamel and dentin on permanent teeth.Materials and Methods: Eighty fresh, non-carious third molars were used in this study. Before cutting the crown in half, the teeth samples were randomly allocated to treatment and control groups by using a lottery method. The first group (n = 20) underwent standard radiation protocol (2 Gy/fraction/day, 5 days/week) with bleaching treatment afterward using 16% carbamide peroxide gel, the second group (n = 20) underwent standard radiation protocol with afterward bleaching treatment using 38% hydrogen peroxide, the third group (n = 20) underwent a short, one strong, experimental dose of 70 Gy with afterward bleaching treatment using 16% carbamide peroxide gel, and the fourth group (n = 20) underwent one strong, experimental dose of 70 Gy with afterward bleaching treatment using 38% hydrogen peroxide gel. Groups 5–8 (n = 20) served as control as they underwent only bleaching treatment. Vickers microhardness and surface roughness were performed before (initial) and after irradiation and before bleaching or after only bleaching. The effects of irradiation and bleaching on microhardness (or roughness) of enamel and dentin were analyzed in the repeated-measures ANOVA model.Results: Enamel microhardness after experimental single 70-Gy irradiation or after standard radiation protocol and bleaching with 16 or 38% gel was not statistically significant from microhardness in the control group (p > 0.05). There was a statistically significantly greater reduction in the average microhardness of enamel and dentin during bleaching with 38% gel compared to 16% for both radiation protocols (p < 0.001). After experimental 70-Gy irradiation and bleaching, a 16% statistically significant increase in surface roughness was found for enamel (p = 0.006) and dentin (p = 0.018), while this was not recorded for 38% gel. There was a statistically significantly greater increase in the average roughness of enamel and dentin during bleaching with 38% gel compared to 16% (p < 0.001) for both radiation protocols.Conclusions: Directly induced radiation leads to potential damage of hard dental tissues, which can be further damaged by additional bleaching. If teeth whitening is necessary after irradiation, it is suggested to use lower concentrations of whitening gels.

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Radiation-induced swallowing dysfunction in patients with head and neck cancer: A literature review

Cited by 16 publications

References 97 publications

The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

Lesões erosivas e ulcerativas da mucosa oral: uma revisão da literatura

Direct Radiotherapy-Induced Effects on Dental Hard Tissue in Combination With Bleaching Procedure

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