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2010, Number 1

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Rev Odont Mex 2010; 14 (1)

Head and neck osteoradionecrosis. Case report

Illescas MMC, Echevarría PE, Benavides RA

Language: Spanish
References: 73
Page: 52-62
PDF size: 187.34 Kb.


ABSTRACT

Since 1895 when Wilhelm Conrad Roentgen discovered the X-ray, recording his wife’s X-ray, there have been made many advances. Henri Becquerel, Marie and Pierre Curie, Antoine Béclère, are other researchers who contributed to achieve what we know today as radiotherapy. The objective of this work is to present the management of irradiated patients with head and neck cancer, from the vision of the dentist specialized in Maxillofacial Prosthetics. The case of a radiated patient underwent to a conventional dental treatment, which later evolve in necrosis of bone known as osteoradionecrosis is presented. The monitoring of more than 3 years, allows presenting some information and proposals to establish as part of the cancer treatment protocols in our population, based on the literature review. It is emphasized the importance of timely intervention in the multidisciplinary groups, installing stomatologic strategies before, during and after the application of ionizing radiation and the need to disclose the characteristics and indications that these patients have, for a dental care that can not be considered conventional.


REFERENCES

  1. Epstein JB, van der Meij E, Mckenzie M, Wong F, Lepawsky M, Stevenson-Moore P. Osteoradionecrosis: Clinical Experience and a Proposal for Classification. J Oral Maxillofacial Surg 1987; 45: 104-110.

  2. Peterson EE, Hupp T. Oral and maxillofacial surgery: Management of the patient undergoing radiotherapy or chemotherapy. Mosby 2003: 405-412.

  3. Thorn JJ, Hansen HS, Specht L, Bastholt L. Osteoradionecrosis of the Jaws: Clinical Characteristics and Relation to the Field of Irradiation. J Oral Maxillofacial Surg 2000; 58: 1088-1093.

  4. Peleg M, López EA. The treatment of osteoradionecrosis of the mandible: The case for hyperbaric oxygen and bone graft reconstruction. J Oral Maxillofacial Surg 2006; 64: 956-960.

  5. Maurer P, Meyer L. Osteoradionecrosis of the mandible resection aided by measurement of partial pressure of oxygen (pO2): A technical report. J Oral Maxillofacial Surg 2006; 64: 560-562.

  6. Jankielewicz I et al. Prótesis bucomaxilofacial: Aspectos odontológicos y rehabilitación del cáncer de cabeza y cuello. Barcelona: Quintessence; 2003: 61-70.

  7. McKinstry RE. Fundamentals of facial prosthetics. Arlington: ABI Professional Publications; 1995: 31-79, 161-168.

  8. Chalian VA. Maxillofacial prosthetics, multidisciplinary practice: Materials for the fabrication of maxillofacial prostheses, Radiation therapy in cancers of the head and neck area. Baltimore: The Williams & Wilkins Co. editors; 1972: 89-108 y 178-207.

  9. Taylor TD. Clinical maxillofacial prosthetics: The radiation therapy patient: Treatment planning and postreatment care, facial prosthesis fabrication: technical aspects and coloration techniques. Illinois: Quintessence Publishing Co, Inc.; 2000: 37-52 y 233-264.

  10. Beumer J. Maxillofacial rehabilitation prosthodontic and surgical considerations cancer chemotherapy: Oral manifestations, complications, and management, radiation therapy of head and neck tumors: oral effects, dental manifestations and dental treatment. Missouri: Ishiyaku Euroamérica, Inc.; 1996: 25-111.

  11. Biete A. Radioterapia en el tratamiento del cáncer: Bases biológicas. Barcelona: Ediciones Doyma; 1990: 01-23.

  12. Comité para el Estudio de Tumores de Cabeza y Cuello Tumores de Cabeza y Cuello. Diagnóstico y tratamiento: Tumores de cavidad oral. México: McGraw Interamericana; 2000: 35-37 y 191-197.

  13. Marx R. Osteoradionecrosis A new concept of its pathophysiology. J Oral Maxillofac Surg 1983; 41: 283-288.

  14. Blanchaert RH. Osteoradionecrosis of the Mandible 2003 November 21 Available from: http://www.emedicine.com/Ent/topic579.htm

  15. Ionnides Ch, Fossion E, Boeckx W, Hermans B, Jacobs D. Surgical management of the Osteoradionecrosis mandible with free vascularized composite flaps. J of Craniomaxillofacial Surg 1994; 22: 330-334.

  16. Rahn AO. Prótesis maxilofaciales principios y conceptos: Materiales para prótesis maxilofaciales, consideraciones odontológicas de carácter general en el paciente radiado, evaluación prostética y tratamiento del paciente irradiado, prótesis para radioterapia, prótesis faciales. Barcelona: Ediciones Toray, S.A.; p. 21-95 y 129-161.

  17. Oh Hee-Kyun, Chambers MS, Garden AS, Wong P, Martin JW. Risk of osteoradionecrosis after extraction of impacted third molars in irradiated head and neck cancer patients. J Oral Maxillofacial Surg 2004; 62: 139-144.

  18. Stevenson-Moore P. Postradiation osteonecrosis of the mandible: a long-term follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83(6): 657-62. Available from: PMID:9195618[Pub.Med-indexedforMEDLINE]

  19. Grant J. Osteoradionecrosis of the Mandible 1997December 10 Available from:

  20. http://www.utmb.edu/otoref/Grnds/Mandible-971210/Mandible-71210.html

  21. Sulaiman F, Huryn JM, Zlotolow IM. Dental extractions in the irradiated head and neck patient: A retrospective analysis of Memorial Sloan-Kettering Cancer Center protocols, criteria, and end results. J Oral Maxillofacial Surg 2003; 61: 1123-1131.

  22. Medina A. Protocolo de Tratamiento de Cirugía Bucal para Pacientes Irradiados en Cabeza y Cuello. 1997 35:2 Available from: http://www.actaodontologica.com/35_2_1997/protocolo_ tratamiento_cirugia_bucal.asp

  23. Sonis ST. Mucositis as a biological process: a new hypothesis for the development of chemotherapy-induced stomatotoxicity. Oral Oncology 1998; 34(1): 39-43.

  24. Rubenstein EB, Peterson DE, Scchubert M et al. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cáncer 2004; 100(9Sppll): 2026-46.

  25. Jiménez D. Consideraciones Estomatológicas y Tratamiento del Paciente Oncológico con Radioterapia 1999 Available from: http://usuarios.lycos.es/Bonis/oral.html

  26. De Vita V, Hellman S, Rosenberg S. Cancer Principles & Practice of Oncology: Radiation Therapy. Lippincott Williams & Wilkins; 2001: 273-276.

  27. Echevarría E. Prótesis en pacientes radiados. Rev INCan 2002; 39: 234-40.

  28. Trigo J.C. Prótesis restauratriz maxilofacial: Materiales utilizados para la realización de las prótesis. Argentina: Mundi Editorial; 1987: 28-43.

  29. Cámara Hiperbárica, Terapia de oxigenación hiperbárica, Oxígeno a presión. Obtenido de. www.mho.com.mx/mho.htm

  30. Directorio de Cámaras Hiperbáricas. Información de casos clínicos. Available from: www.pccp.com.ar/hypermed/

  31. Oxigenación hiperbárica Available from: www.geocities.com/cchiperb/

  32. Terapia Hiperbárica. Available from: www.sinfomed.org.ar/Mains/publicaciones/hiperba.htm.

  33. Nueva medicina no invasiva basada en la respiración. Available from: Medicinahiperbárica.8m.com/

  34. Cámara hiperbárica. Available from: www.inframedica.com/pacientes/camara.htm

  35. David LA. Hyperbaric oxygen therapy and mandibular osteoradionecrosis: A retrospective study and analysis of treatment outcomes. Available from: http://www.cda-adc.ca/jcda/vol-67/issue-7/384.html

  36. Foster JH. Hyperbaric oxygen therapy: contraindications and complications. J Oral Maxillofacial Surg 1992; 50: 1081-1086.

  37. Soriano C. Sociedad Mexicana de Radiología e Imagen: Papel del técnico radiólogo al realizar el protocolo de tratamiento del CaCu por cobaltoterapia dentro del Área de Radioterapia [tesis]. DF (Méx.): Escuela de Técnicos Radiólogos; 2004.

  38. Epstein JB, van der Meij E, Mckenzie M, Wong F, Lepawsky M, Stevenson-Moore P. Osteoradionecrosis: Clinical Experience and a Proposal for Classification. J Oral Maxillofacial Surg 1987; 45: 104-110.

  39. Peterson EE, Hupp T. Oral and maxillofacial surgery: Management of the patient undergoing radiotherapy or chemotherapy. Mosby 2003: 405-412.

  40. Thorn JJ, Hansen HS, Specht L, Bastholt L. Osteoradionecrosis of the Jaws: Clinical Characteristics and Relation to the Field of Irradiation. J Oral Maxillofacial Surg 2000; 58: 1088-1093.

  41. Peleg M, López EA. The treatment of osteoradionecrosis of the mandible: The case for hyperbaric oxygen and bone graft reconstruction. J Oral Maxillofacial Surg 2006; 64: 956-960.

  42. Maurer P, Meyer L. Osteoradionecrosis of the mandible resection aided by measurement of partial pressure of oxygen (pO2): A technical report. J Oral Maxillofacial Surg 2006; 64: 560-562.

  43. Jankielewicz I et al. Prótesis bucomaxilofacial: Aspectos odontológicos y rehabilitación del cáncer de cabeza y cuello. Barcelona: Quintessence; 2003: 61-70.

  44. McKinstry RE. Fundamentals of facial prosthetics. Arlington: ABI Professional Publications; 1995: 31-79, 161-168.

  45. Chalian VA. Maxillofacial prosthetics, multidisciplinary practice: Materials for the fabrication of maxillofacial prostheses, Radiation therapy in cancers of the head and neck area. Baltimore: The Williams & Wilkins Co. editors; 1972: 89-108 y 178-207.

  46. Taylor TD. Clinical maxillofacial prosthetics: The radiation therapy patient: Treatment planning and postreatment care, facial prosthesis fabrication: technical aspects and coloration techniques. Illinois: Quintessence Publishing Co, Inc.; 2000: 37-52 y 233-264.

  47. Beumer J. Maxillofacial rehabilitation prosthodontic and surgical considerations cancer chemotherapy: Oral manifestations, complications, and management, radiation therapy of head and neck tumors: oral effects, dental manifestations and dental treatment. Missouri: Ishiyaku Euroamérica, Inc.; 1996: 25-111.

  48. Biete A. Radioterapia en el tratamiento del cáncer: Bases biológicas. Barcelona: Ediciones Doyma; 1990: 01-23.

  49. Comité para el Estudio de Tumores de Cabeza y Cuello Tumores de Cabeza y Cuello. Diagnóstico y tratamiento: Tumores de cavidad oral. México: McGraw Interamericana; 2000: 35-37 y 191-197.

  50. Marx R. Osteoradionecrosis A new concept of its pathophysiology. J Oral Maxillofac Surg 1983; 41: 283-288.

  51. Blanchaert RH. Osteoradionecrosis of the Mandible 2003 November 21 Available from: http://www.emedicine.com/Ent/topic579.htm

  52. Ionnides Ch, Fossion E, Boeckx W, Hermans B, Jacobs D. Surgical management of the Osteoradionecrosis mandible with free vascularized composite flaps. J of Craniomaxillofacial Surg 1994; 22: 330-334.

  53. Rahn AO. Prótesis maxilofaciales principios y conceptos: Materiales para prótesis maxilofaciales, consideraciones odontológicas de carácter general en el paciente radiado, evaluación prostética y tratamiento del paciente irradiado, prótesis para radioterapia, prótesis faciales. Barcelona: Ediciones Toray, S.A.; p. 21-95 y 129-161.

  54. Oh Hee-Kyun, Chambers MS, Garden AS, Wong P, Martin JW. Risk of osteoradionecrosis after extraction of impacted third molars in irradiated head and neck cancer patients. J Oral Maxillofacial Surg 2004; 62: 139-144.

  55. Stevenson-Moore P. Postradiation osteonecrosis of the mandible: a long-term follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83(6): 657-62. Available from: PMID:9195618[Pub.Med-indexedforMEDLINE]

  56. Grant J. Osteoradionecrosis of the Mandible 1997 December 10 Available from: http://www.utmb.edu/otoref/Grnds/Mandible-971210/Mandible-71210.html

  57. Sulaiman F, Huryn JM, Zlotolow IM. Dental extractions in the irradiated head and neck patient: A retrospective analysis of Memorial Sloan-Kettering Cancer Center protocols, criteria, and end results. J Oral Maxillofacial Surg 2003; 61: 1123-1131.

  58. Medina A. Protocolo de Tratamiento de Cirugía Bucal para Pacientes Irradiados en Cabeza y Cuello. 1997 35:2 Available from: http://www.actaodontologica.com/35_2_1997/protocolo_ tratamiento_cirugia_bucal.asp

  59. Sonis ST. Mucositis as a biological process: a new hypothesis for the development of chemotherapy-induced stomatotoxicity. Oral Oncology 1998; 34(1): 39-43.

  60. Rubenstein EB, Peterson DE, Scchubert M et al. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cáncer 2004; 100(9Sppll): 2026-46.

  61. Jiménez D. Consideraciones Estomatológicas y Tratamiento del Paciente Oncológico con Radioterapia 1999 Available from: http://usuarios.lycos.es/Bonis/oral.html

  62. De Vita V, Hellman S, Rosenberg S. Cancer Principles & Practice of Oncology: Radiation Therapy. Lippincott Williams & Wilkins; 2001: 273-276.

  63. Echevarría E. Prótesis en pacientes radiados. Rev INCan 2002; 39: 234-40.

  64. Trigo J.C. Prótesis restauratriz maxilofacial: Materiales utilizados para la realización de las prótesis. Argentina: Mundi Editorial; 1987: 28-43.

  65. Cámara Hiperbárica, Terapia de oxigenación hiperbárica, Oxígeno a presión. Obtenido de. www.mho.com.mx/mho.htm

  66. Directorio de Cámaras Hiperbáricas. Información de casos clínicos. Available from: www.pccp.com.ar/hypermed/

  67. Oxigenación hiperbárica Available from: www.geocities.com/cchiperb/

  68. Terapia Hiperbárica. Available from: www.sinfomed.org.ar/Mains/publicaciones/hiperba.htm.

  69. Nueva medicina no invasiva basada en la respiración. Available from: Medicinahiperbárica.8m.com/

  70. Cámara hiperbárica. Available from: www.inframedica.com/pacientes/camara.htm

  71. David LA. Hyperbaric oxygen therapy and mandibular osteoradionecrosis: A retrospective study and analysis of treatment outcomes. Available from: http://www.cda-adc.ca/jcda/vol-67/issue-7/384.html

  72. Foster JH. Hyperbaric oxygen therapy: contraindications and complications. J Oral Maxillofacial Surg 1992; 50: 1081-1086.

  73. Soriano C. Sociedad Mexicana de Radiología e Imagen: Papel del técnico radiólogo al realizar el protocolo de tratamiento del CaCu por cobaltoterapia dentro del Área de Radioterapia [tesis]. DF (Méx.): Escuela de Técnicos Radiólogos; 2004.




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