دورية أكاديمية
Dental extractions in the irradiated head and neck patient: a retrospective analysis of Memorial Sloan-Kettering Cancer Center protocols, criteria, and end results.
| العنوان: | Dental extractions in the irradiated head and neck patient: a retrospective analysis of Memorial Sloan-Kettering Cancer Center protocols, criteria, and end results. |
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| المؤلفون: | Sulaiman F; Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021, USA., Huryn JM, Zlotolow IM |
| المصدر: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2003 Oct; Vol. 61 (10), pp. 1123-31. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8206428 Publication Model: Print Cited Medium: Print ISSN: 0278-2391 (Print) Linking ISSN: 02782391 NLM ISO Abbreviation: J Oral Maxillofac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Philadelphia, PA : W.B. Saunders Co., c1982- |
| مواضيع طبية MeSH: | Cancer Care Facilities*/statistics & numerical data , Practice Guidelines as Topic*, Cranial Irradiation/*adverse effects , Jaw Diseases/*etiology , Osteoradionecrosis/*etiology , Tooth Extraction/*adverse effects, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell/radiotherapy ; Child ; Clinical Protocols ; Dental Service, Hospital/statistics & numerical data ; Head and Neck Neoplasms/radiotherapy ; Humans ; Hyperbaric Oxygenation ; Male ; Middle Aged ; New York City ; Osteoradionecrosis/therapy ; Retrospective Studies |
| مستخلص: | Background: This study was designed to use our institutional experience with irradiated head and neck patients to evaluate 1) dental extraction incidence and sequelae; 2) those patients who developed osteoradionecrosis via extraction and the efficacy of hyperbaric oxygen therapy; and 3) guidelines for extraction protocols in this population. Materials and methods A group of 1,194 patients with a history of radiation to the head and neck, who were evaluated and treated in the Dental Service at Memorial Sloan-Kettering Cancer Center, were reviewed. The 187 who required dental extractions were analyzed using patient demographics, tumor location, staging, histopathology, radiation dosage, field, and timing, dental extraction indications, location, surgical methods, and sequelae. Results: Almost 85% of the patients reviewed did not require extraction. Only 4 of those who underwent extractions at Memorial Sloan-Kettering Cancer Center developed osteoradionecrosis. Conclusions: The use of multidisciplinary team communications and careful extraction selection by prognosis and symptomatology regardless of preexisting dental pathologies, atraumatic extraction procedures, and meticulous follow-up can lower both extraction and osteoradionecrosis rates. |
| التعليقات: | Comment in: J Oral Maxillofac Surg. 2004 Jul;62(7):903; author reply 903-4. (PMID: 15243999) |
| تواريخ الأحداث: | Date Created: 20031031 Date Completed: 20031117 Latest Revision: 20191210 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/s0278-2391(03)00669-4 |
| PMID: | 14586845 |
| قاعدة البيانات: | MEDLINE |
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