Abstract
Radiotherapy of head and neck cancer has become more successful with the advances in treatment modalities and use of a multidisciplinary approach. Higher quality treatment and a team approach to radiotherapy have thus been required for head and neck cancer. This study presents the clinical experience of high-dose-rate (HDR) brachytherapy for head and neck cancer treated by a customized intraoral mold technique. Two patients are reported for whom we created dental prostheses as the radiation carriers for HDR brachytherapy of their head and neck cancers. HDR brachytherapy with the dental prostheses reported here was feasible and effective for eradicating the head and neck cancer. It has been demonstrated that HDR brachytherapy using a customized intraoral technique can be a treatment option for patients who are not candidates for surgery or external irradiation. It is strongly suggested that specialized dentists are needed who are familiar with not only the anatomy and function of the head and neck region but also radiotherapy. Dental radiologists should take responsibility for constructing irradiation prostheses. If they do, they have the potential to improve the quality of life of patients who undergo radiotherapy for head and neck cancer.
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References
JA Panagaricano N Papanikolau (2003) ArticleTitleIntensity-modulated radiotherapy for carcinoma of the head and neck Curr Oncol Rep 5 131–9
F Claus W Duthoy T Boterberg WG Gersem J Huys H Vermeersch et al. (2002) ArticleTitleIntensity modulated radiation for oropharyngeal and oral cavity tumors: clinical use and experience Oral Oncol 38 597–604 Occurrence Handle12167438 Occurrence Handle10.1016/S1368-8375(01)00111-7
CM Bragg J Conway MH Robinson (2002) ArticleTitleThe role of intensity-modulated radiotherapy in the treatment of parotid tumors Int J Radiat Oncol Biol Phys 52 729–38 Occurrence Handle11849796 Occurrence Handle10.1016/S0360-3016(01)02660-8
PL Sandow RA Baughman (1994) Dental and oral care for head and neck cancer patient RR Million NJ Cassisi (Eds) Management of head and neck cancer: a multidisciplinary approach EditionNumber2nd edition Lippincott Philadelphia 185–91
CC Wang (1997) Dental care of patients receiving radiation therapy CC Wang (Eds) Radiation therapy for head and neck neoplasms EditionNumber3rd edition Wiley-Liss NewYork 53–61
C Perez J Purdy S Breaux J Ogura C Von Essen (1982) ArticleTitleCarcinoma of the tonsillar fossa: a nonrandomized comparison of preoperative radiation and surgery or irradiation alone: long term results Cancer 50 2314–22 Occurrence Handle7139527 Occurrence Handle10.1002/1097-0142(19821201)50:11<2314::AID-CNCR2820501116>3.0.CO;2-3 Occurrence Handle1:STN:280:DyaL3s%2FltVGjsg%3D%3D
M Fujita Y Hirokawa K Kashiwado (1996) ArticleTitleAn analysis of mandibular bone complications in radiotherapy for T1 and T2 carcinoma of the oral tongue Int J Radiat Oncol Biol Phys 15 333–9 Occurrence Handle10.1016/0360-3016(95)02066-7
Y Nishimura Y Yokoe Y Nagata K Okajima M Nishida M Hiraoka (1998) ArticleTitleHigh-dose-rate brachytherapy using molds for oral cavity cancer: the technique and its limitation Int J Clin Oncol 3 351–6 Occurrence Handle10.1007/BF00539212
E Parsai K Ayyangar D Bowman B Huber R Dobelbower (1995) ArticleTitle3-D reconstruction of Ir-192 implant dosimetry for irradiating gingival carcinoma on the mandibular alveolar ridge Oral Surg Oral Med Oral Pathol 79 787–92 Occurrence Handle1:STN:280:DyaK2Mzks1Cksg%3D%3D
E Ariji N Hayashi Y Kimura (1999) ArticleTitleCustomized mold brachytherapy for oral carcinomas through use of high-dose-rate remote afterloading apparatus Oral Surg Oral Med Oral Pathol 87 508–12 Occurrence Handle1:STN:280:DyaK1M3ktVWltA%3D%3D
CAF Joslin C Eng WE Liversage NW Ramsey (1969) ArticleTitleHigh dose-rate treatment molds by afterloading techniques Br J Radiol 42 108–11 Occurrence Handle4975208 Occurrence Handle1:STN:280:DyaF1M7jtFOjtA%3D%3D
M Bauer R Schulz-Wendtland P Fritz D Fournier (1987) ArticleTitleBrachytherapy of tumor recurrences in the region of pharynx and oral cavity by means of a remote-controlled afterloading techniques Br J Radiol 60 477–80 Occurrence Handle3555682 Occurrence Handle1:STN:280:DyaL2s3hsVymsQ%3D%3D Occurrence Handle10.1259/0007-1285-60-713-477
EJ Daniel N Subir (1992) ArticleTitleTechnique for construction of dental molds for high-dose-rate remote brachytherapy Special Care Dent 12 219–24 Occurrence Handle10.1111/j.1754-4505.1992.tb00452.x
K Obinata K Ohmori K Tuchiya T Nishioka H Shirato M Nakamura (2003) ArticleTitleClinical study of a spacer to help prevent osteoradionecrosis resulting from brachytherapy for tongue cancer Oral Surg Oral Med Oral Pathol 95 246–50
M Fujita M Tamamoto Y Hirokawa (1993) ArticleTitleExperimental and clinical studies on dose reduction effects of spacers in interstitial brachytherapy for carcinoma of the mobile tongue Oral Surg Oral Med Oral Pathol 76 797–803 Occurrence Handle8284088 Occurrence Handle10.1016/0030-4220(93)90054-8 Occurrence Handle1:STN:280:DyaK2c7htFymsQ%3D%3D
AM Nguyen (1992) ArticleTitleDental management of patients who receive chemo- and radiation therapy Gen Dent 6 305–11
A Santiago (1973) ArticleTitleThe role of the dentist in radiotherapy J Prosthet Dent 30 196–201 Occurrence Handle4577893 Occurrence Handle10.1016/0022-3913(73)90055-3 Occurrence Handle1:STN:280:DyaE3s3hs1OhsQ%3D%3D
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Obinata, K., Ohmori, K., Shirato, H. et al. Experience of high-dose-rate brachytherapy for head and neck cancer treated by a customized intraoral mold technique. Radiat Med 25, 181–186 (2007). https://doi.org/10.1007/s11604-007-0121-y
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DOI: https://doi.org/10.1007/s11604-007-0121-y