Management of Oral Hygiene in Head-Neck Cancer Patients Undergoing Oncological Surgery and Radiotherapy: A Systematic Review

被引：18

作者：

Lanzetti, Jacopo ^{[1
]}

Finotti, Federica ^{[1
]}

Savarino, Maria ^{[1
]}

Gassino, Gianfranco ^{[1
]}

Dell'Acqua, Alessandro ^{[1
]}

Erovigni, Francesco M. ^{[1
]}

机构：

[1] Univ Turin, Dent Sch, Dept Surg Sci, I-10126 Turin, Italy

来源：

DENTISTRY JOURNAL | 2023年 / 11卷 / 03期

关键词：

oral hygiene protocol; head-neck cancer; radiotherapy; maxillofacial surgery; MUCOSITIS; MOUTHWASH; PLACEBO; CARE;

D O I：

10.3390/dj11030083

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Background: In the literature, among oral health prevention programs dedicated to cancer patients, a wide heterogeneity is evident. The purpose of this work is to analyze the available scientific evidence for the treatment of head and neck cancer (HNC) patients undergoing resective surgery and radiotherapy and to draw up a diversified oral hygiene protocol during oncological therapy. Methods: PubMed was used as database. Studies published from 2017 to September 2022 were analyzed. Studies investigating the effectiveness of the preventive procedures carried out by the dental professionals in HNC patients undergoing postoperative adjuvant therapy have been taken into account. Results: The application of the search string on PubMed allowed the selection of 7184 articles. The systematic selection of articles led to the inclusion of 26 articles in this review, including 22 RCTs, 3 observational studies, and 1 controlled clinical study. Articles were divided according to the debated topic: the management of radiation-induced mucositis, xerostomia, the efficacy of an oral infection prevention protocol, and the prevention of radiation-induced caries. Conclusions: Dental hygienists are fundamental figures in the management of patients undergoing oncological surgery of the maxillofacial district. They help the patient prevent and manage the sequelae of oncological therapy, obtaining a clear improvement in the quality of life.

引用

页数：16

共 42 条

[31] Oral Health Management and Rehabilitation for Patients with Oral Cancer: A Narrative Review [J].

Matsuda, Yuhei ;

Jayasinghe, Ruwan D. ;

Zhong, Hui ;

Arakawa, Shinichi ;

Kanno, Takahiro .

HEALTHCARE, 2022, 10 (05)

[32]

Moher D, 2009, PLOS MED, V6, DOI [10.1371/journal.pmed.1000097, 10.1016/j.ijsu.2010.02.007, 10.1136/bmj.b2535, 10.1136/bmj.i4086, 10.1136/bmj.b2700, 10.1186/2046-4053-4-1, 10.1016/j.ijsu.2010.07.299]

[33] A prospective study on oral adverse effects in head and neck cancer patients submitted to a preventive oral care protocol [J].

Morais, Marilia Oliveira ;

Lopes Martins, Allisson Filipe ;

Goncalves de Jesus, Ana Paula ;

de Sousa Neto, Sebastiao Silverio ;

Florencio da Costa, Arthur Wilson ;

Pereira, Carlos Henrique ;

Oton-Leite, Angelica Ferreira ;

Aires de Freitas, Nilceana Maya ;

Leles, Claudio Rodrigues ;

Mendonca, Elismauro Francisco .

SUPPORTIVE CARE IN CANCER, 2020, 28 (09) :4263-4273

[34] Alleviation of dry mouth by saliva substitutes improved swallowing ability and clinical nutritional status of post-radiotherapy head and neck cancer patients: a randomized controlled trial [J].

Nuchit, Sumalee ;

Lam-ubol, Aroonwan ;

Paemuang, Wannaporn ;

Talungchit, Sineepat ;

Chokchaitam, Orapin ;

Mungkung, On-ong ;

Pongcharoen, Tippawan ;

Trachootham, Dunyaporn .

SUPPORTIVE CARE IN CANCER, 2020, 28 (06) :2817-2828

[35] Maxillofacial Prosthetics [J].

Phasuk, Kamolphob ;

Haug, Steven P. .

ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2018, 30 (04) :487-+

[36]

Shah Swikant, 2020, Indian J Dent Res, V31, P718, DOI 10.4103/ijdr.IJDR_822_18

[37] Anticariogenic efficacy of a saliva biomimetic in head-and-neck cancer patients undergoing radiotherapy [J].

Sim, C. P. C. ;

Walker, G. D. ;

Manton, D. J. ;

Soong, Y. L. ;

Wee, J. T. S. ;

Adams, G. G. ;

Reynolds, E. C. .

AUSTRALIAN DENTAL JOURNAL, 2019, 64 (01) :47-54

[38]

Singh Vibha, 2020, Natl J Maxillofac Surg, V11, P159, DOI 10.4103/njms.NJMS_10_20

[39] N-Acetylcysteine Rinse for Thick Secretion and Mucositis of Head and Neck Chemoradiotherapy (Alliance MC13C2): A Double-Blind Randomized Clinical Trial [J].

Sio, Terence T. ;

Blanchard, Miran J. ;

Novotny, Paul J. ;

Patel, Samir H. ;

Rwigema, Jean-Claude M. ;

Pederson, Levi D. ;

McGee, Lisa A. ;

Gamez, Mauricio E. ;

Seeger, Grant R. ;

Martenson, James A. ;

Grover, Yvonne ;

Wittich, Michelle A. Neben ;

Garces, Yolanda, I ;

Foote, Robert L. ;

Miller, Robert C. ;

Halyard, Michele Y. .

MAYO CLINIC PROCEEDINGS, 2019, 94 (09) :1814-1824

[40] Effect of Doxepin Mouthwash or Diphenhydramine-Lidocaine-Antacid Mouthwash vs Placebo on Radiotherapy-Related Oral Mucositis Pain The Alliance A221304 Randomized Clinical Trial [J].

Sio, Terence T. ;

Le-Rademacher, Jennifer G. ;

Leenstra, James L. ;

Loprinzi, Charles L. ;

Rine, Grant ;

Curtis, Amarinthia ;

Singh, Anurag K. ;

Martenson, James A., Jr. ;

Novotny, Paul J. ;

Tan, Angelina D. ;

Qin, Rui ;

Ko, Stephen J. ;

Reiter, Paul L. ;

Miller, Robert C. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (15) :1481-1490

← 1 2 3 4 5 →