Oral Complications of Head and Neck Cancer Therapy

Author:

Kouri Maria1,Vadalouca Athina2,Kouloulias Vasilios3,Papadopoulou Erofili1,Vardas Emmanouil1,Kyrodimos Euthimios4,Trichas Miltiadis5,Galitis Evangelos6,Zygogianni Anna7,Liakouli Zoi7,Nicolatou-Galitis Ourania1,Psyrri Amanda8

Affiliation:

1. Clinic of Hospital Dentistry, Dental School , National and Kapodistrian University of Athens , Athens , Greece

2. Pain Clinic, “Athens Medical Center” , Athens , Greece

3. 2nd Radiology Department, Radiotherapy Unit, Medical School , National and Kapodistrian University of Athens , Athens , Greece

4. ENT Clinic, “Hippokrateio” Hospital, Medical School , National and Kapodistrian University of Athens , Athens , Greece

5. Radiotherapy Department , “Iaso” Hospital , Athens , Greece

6. Department of Oral & Maxillofacial Surgery , Dental School, National and Kapodistrian University of Athens , Athens , Greece

7. 1st Radiology Department, Radiotherapy Unit, “Aretaieion” University Hospital, Medical School , National and Kapodistrian University of Athens , Athens , Greece

8. Oncology Department, “Attikon” University Hospital , Medical School, National and Kapodistrian University of Athens , Athens , Greece

Abstract

Abstract Current therapies for Head and Neck cancer treatment are extremely advanced. Though, they cause oral complications which have deleterious effects on basic life functions, affect oral and overall health, may lead to significant morbidity and treatment discontinuation and have an impact on survivorship and quality of life. As new therapies are introduced, a new spectrum of oral complications is rising, compromising the mucosal integrity and the salivary function, that may not be recognized, reported and treated properly. Oral complications, often permanent and extremely painful, may include mucositis, xerostomia, dysgeusia, infections, trismus and fibrosis, risk of dental disease and necrosis of the jaw, neurosensory disorders and when targeted therapies and immunotherapy are involved, aphthoid and lichenoid lesions can also be reported. Increased awareness is required for the prevention and management of these complications, which can be best provided by a multidisciplinary team.

Publisher

Walter de Gruyter GmbH

Subject

Oncology

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