지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 21 - 28 (8page)
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초록· 키워드
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Objectives: Osteoradionecrosis (ORN) is one of the most severe complications resulting from radiotherapy (RT) in patients with head and neck cancer (HNC). It is characterized by persistent exposed and devitalized bone without proper healing for greater than 6 months after a high dose of radiation in the area. To describe the profile and dental management of ORN in HNC patients undergoing RT in an oncological clinical research center. Materials and Methods: A retrospective descriptive study was performed to analyze dental records from HNC patients with ORN treated at an oncological clinical research center from 2013 to 2017. A total of 158 dental records for HNC patients were selected from a total of 583 records. Afterwards, this number was distributed to three examiners for manual assessments. Each examiner was responsible for selecting dental records that contained an ORN description, resulting in 20 dental records. Results: Mean patient age was 60.3 years with males being the most affected sex (80.0%). The most affected area was the posterior region of the mandible (60.0%) followed by the anterior region of the mandible (20.0%) and the posterior region of the maxilla (10.0%). The factors most associated with ORN were dental conditions (70.0%) followed by isolated systemic factors (10.0%) and tumor resection (5.0%). There was total exposed bone closure in 50.0% of cases. The predominant treatment was curettage associated with chlorhexidine 0.12% irrigation (36.0%). Conclusion: Poor dental conditions were related to ORN occurrence. ORN management through less invasive therapies was effective for the closure of exposed bone areas and avoidance of infection.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Nadella KR / 2015 / Osteoradionecrosis of the jaws : clinico-therapeutic management : a literature review and update / J Maxillofac Oral Surg 14:891~901
Wong JK / 1997 / Conservative management of osteoradionecrosis / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84:16~21
Sathasivam HP / 2018 / Predictive factors for osteoradionecrosis of the jaws : a retrospective study / Head Neck 40:46~54
Ramli R / 2006 / Managing complications of radiation therapy in head and neck cancer patients: part IV. Management of osteoradionecrosis / Singapore Dent J 28:11~15
Regaud C / 1922 / Sur la necrose des os attente par un processus cancereux et traits par les radiations / Compt Rend Soc Biol 87:629
Wong JK / 1997 / Conservative management of osteoradionecrosis / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84:16~21
Sathasivam HP / 2018 / Predictive factors for osteoradionecrosis of the jaws : a retrospective study / Head Neck 40:46~54
Ramli R / 2006 / Managing complications of radiation therapy in head and neck cancer patients: part IV. Management of osteoradionecrosis / Singapore Dent J 28:11~15
Regaud C / 1922 / Sur la necrose des os attente par un processus cancereux et traits par les radiations / Compt Rend Soc Biol 87:629
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