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Komplementärmedizinische Behandlungsansätze bei oraler Mukositis und Xerostomie

  • Judith BüntzelEmail author
  • Jutta Hübner
  • Jens Büntzel
Integrative Onkologie
  • 17 Downloads

Zusammenfassung

Hintergrund

Patienten mit Tumoren im Kopf-Hals-Bereich leiden oft an einer iatrogenen Mukositis und Mundtrockenheit, die auch langfristig zu einer erheblichen Beeinträchtigung der Ernährung führen können.

Methode

Es erfolgte eine Zusammenstellung klinisch bereits geprüfter komplementärmedizinischer Behandlungsansätze und eine ergänzende Auflistung phytotherapeutischer Möglichkeiten aus dem Kanon der Traditionellen Europäischen Medizin.

Ergebnisse

Sowohl zur Behandlung der akuten Stomatitis und Mukositis als auch der akuten Xerostomie gibt es eine Reihe medikamentöser und nichtmedikamentöser Behandlungsansätze, die der Onkologe kennen und beachten sollte. Europäische Phytotherapeutika sind bisher relativ selten einer klinischen Prüfung unterzogen worden.

Schlussfolgerungen

Die Nutzung komplementärmedizinischer Maßnahmen kann für die Behandlung der Mukositis und der Xerostomie im Einzelfall sinnvoll sein. Forschungsbedarf besteht insbesondere auf dem Gebiet der traditionellen europäischen Heilkräuter, da diese eine hohe Akzeptanz bei den Patienten haben.

Schlüsselwörter

Alternative Medizin Stomatitis Traditionelle Europäische Medizin S3-Leitlinie Supportivmedizin Phytotherapie 

Complementary medical treatment approaches for oral mucositis and xerostomia

Abstract

Background

Patients with tumors in the head and neck region often suffer from iatrogenic mucositis and xerostomia. Both symptoms can have a severe long-term effect on patients’ nutritional status.

Method

Compilation of several approaches of complementary alternative medicine (CAM), which have already been tested in clinical studies. Additionally, known phytopharmaceutical remedies from the canon of traditional European medicine are listed.

Results

There are several drug-based and non-medicamentous treatment approaches for treating acute stomatitis/mucositis as well as acute xerostomia, which an oncologist should know and consider for treatment. So far there have only been very few clinical studies investigating traditional European phytopharmaceutical drugs.

Conclusions

The use of CAM for treating mucositis and xerostomia may be reasonable in individual cases. More in-depth investigations on the effects of traditional European medicinal herbs are required as patients show a high consumer acceptance for these remedies.

Keywords

Alternative medicine Stomatitis Traditional European medicine S3 Guideline Supportive Medicine Phytotherapy 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

J. Büntzel, J. Hübner und J. Büntzel geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik für Hämatologie und Medizinische OnkologieUniversitätsmedizin GöttingenGöttingenDeutschland
  2. 2.Klinik für Innere Medizin II (Hämatologie und Internistische Onkologie)Universitätsklinikum JenaJenaDeutschland
  3. 3.Klinik für HNO-Erkrankungen, Kopf-Hals-ChirurgieSüdharz-Klinikum Nordhausen gGmbHNordhausenDeutschland

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