Radiation induced oral mucositis – therapeutic strategy in a case report

Medicina Fluminensis

Braut, Alen¹  Glažar, Irena²  Muhvić Urek, Miranda²  Pezelj-Ribarić, Sonja² 

[1] Katedra za endodonciju i restaurativnu stomatologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka;Katedra za oralnu medicinu i parodontologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka

关键词: mucositis;    radiotherapy;   

DOI  :  

学科分类：医学（综合）

来源: Medicina Fluminensis

【 摘 要 】

Aim: Oral mucositis is an acute complication of radiation in the head and neck region, accompanied by pain and difficulties in mastication, swallowing and speech. It often causes an interruption of radiation therapy and can compromise therapy success. Considering that there is still no unique treatment protocol for mucositis, its treatment represents a challenge to clinicians. The aim of this report is to present a clinical case of oral mucositis induced by radiation, its diagnostic process and treatment. Case report: We report a case of a 65-year-old patient who sought help due to presence of lesions and pain in the oral cavity. Diagnosis of oral mucositis caused by radiation (Grade 3 according to World Health Organization scale) and oral candidiasis were established through anamnesis, clinical examination and laboratory analysis. The patient was treated with oral antiseptic, local antifungal drug and anesthetic, systemic analgesics, agent for coating and stimulating mucosal recovery, and biostimulative low level laser therapy with frequent follow-ups. Oral mucositis was cured and radiotherapy was successfully completed. Conclusion: Oral mucositis is a very unpleasant complication of radiation in the head and neck region. Early diagnosis and frequent followups are of great importance for successful treatment. Also, a multidisciplinary approach between oncologist, surgeon and dentist/oral pathologist is essential for successful treatment of mucositis.

【 授权许可】

CC BY