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Non-Malignant Disorders of the Head Region

  • Chapter
Radiotherapy for Non-Malignant Disorders

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

Radiotherapy (RT) of malignant head and neck disorders is a common and widely accepted treatment option, and radiogenic toxicity — most importantly the reduced production of the saliva, the mucosal changes and the alteration of taste — is an accepted risk if the final aim is long-term local tumor control or even cure. The greater salivary glands are organs at risk in the daily routine of radiooncology. Thus, it appears exceptional to consider any RT indications for benign parotid disorders. The required RT doses should be well below the tolerance dose (TD) for xerostomia in long-term evaluation. Rubin estimated the tolerance dose for the occurrence of xerostomia to be 5% within 5 years after a conventionally fractionated RT course with a 2-Gy single dose and 50-Gy total dose (i.e., TD5/5) [21]; Emami et al. defined a TD5/5 dose value of 32 Gy assuming that more than one third of the parotid gland is irradiated [6]. RT of benign head and neck diseases provides an excellent opportunity to review the development of RT indications over a long period of time and possibly allows a revival of RT for special indications in the future.

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Authors and Affiliations

  1. Department of Radiation Oncology and Therapeutic Radiology, Alfried Krupp Hospital, Alfried-Krupp-Straße 21, 45117, Essen, Germany

    Ralf Oppenkowski MD & Michael Heinrich Seegenschmiedt MD (Professor)

Authors
  1. Ralf Oppenkowski MD
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  2. Michael Heinrich Seegenschmiedt MD
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Editors and Affiliations

  1. Department of Radiation Oncology and Therapeutic Radiology, Alfried-Krupp-Hospital, Alfried-Krupp-Strasse 21, Postfach 10 22 43, 45117, Essen, Germany

    Michael Heinrich Seegenschmiedt MD (Professor) (Professor)

  2. Strahlenklinik Klinikum Duisburg, Zu den Rehwiesen 9, 47055, Duisburg, Germany

    Hans-Bruno Makoski MD (Professor) (Professor)

  3. Department of Radiation Biology, St. Bartolomew’s Medical College, Charterhouse Square, London, EC1M 6BQ, UK

    Klaus-Rüdiger Trott MD (Professor) (Professor)

  4. Hylda Cohn/American Cancer Society, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

  5. College of Medicine, Drexel University, Broad & Vine Sts., Mail Stop 200, Philadelphia, PA, 19102-1192, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

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© 2008 Springer-Verlag Berlin Heidelberg

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Oppenkowski, R., Seegenschmiedt, M.H. (2008). Non-Malignant Disorders of the Head Region. In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_33

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  • DOI: https://doi.org/10.1007/978-3-540-68943-0_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-62550-6

  • Online ISBN: 978-3-540-68943-0

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