Abstract
The prevalence of head and neck cancers continues to increase throughout the world, the modality of their management mainly includes surgery, radiotherapy (RTH), and chemotherapy and antiresorptive treatment.
The complications of radiotherapy imperatively require concerted management and rigorous monitoring. Indeed, collaboration with the multidisciplinary team is essential and guarantees therapeutic success.
The management of patients during and after these anticancer treatments by the specialist in maxillofacial prosthesis essentially comprises the treatment of early and late complications of radiotherapy, oral care and finally prosthetic rehabilitation depending on the case.
The objective of this work is to describe the protocols and recommendations for the management of patients during and after radiotherapy and to highlight the role of the specialist in maxillofacial prosthodontics in this management.
References
Singh M, Alavi A, Wong R, Akita S. Radiodermatitis: A Review of Our Current Understanding. Am J Clin Dermatol. 2016 Jun;17(3):277-92. https://doi.org/10.1007/s40257-016-0186-4
Chabolle F (ed). Complications et séquelles de la radiothérapie, In Complications et Séquelles des Traitements en Cancérologie ORL: Elsevier; 2013. p. 13-65.DOI: https://doi.org/10.1016/C2013-0-12684-0
Elad S, Cheng KKF, Lalla RV, Yarom N, Hong C, Logan RM et al. MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy: MASCC/ISOO Mucositis Guidelines Cancer. 2020 Oct 1;126(19):4423-4431. https://doi.org/10.1002/cncr.33100
Bjordal JM, Bensadoun RJ, Tunèr J, Frigo L, Gjerde K, Lopes-Martins RA. A systematic review with meta-analysis of the effect of low-level laser therapy (LLLT) in cancer therapy-induced oral mucositis. Support Care Cancer. 2011 Aug;19(8):1069-77. https://doi.org/10.1007/s00520-011-1202-0
Boisramé S, Remaud M, Pers JO. Conduite à tenir devant une sécheresse buccale. Elsevier Masson SAS. 2017. https://doi.org/10.1016/S1877-7864(16)41613-7
Battu C. L’accompagnement nutritionnel d’un patient atteint d’un cancer et présentant une sécheresse buccale. Actualités Pharmaceutiques. 2016; 55(557): p. 55-58. https://doi.org/10.1016/j.actpha.2016.04.011
Pinel TB, Cassou-Mounat R, Bensadoun J. « Candidose oropharyngée et radiothérapie. Elsevier. 2012; 16(3),:p. 222-229. https://doi.org/10.1016/j.canrad.2011.11.004
B. Virginie. Fluoroprophylaxie des dents en territoire irradié : analyse de la littérature. [Unpublihed Research.] 2009. [Accessed 2021 Jan 01]. Available from: http://archive.bu.univ-nantes.fr/pollux/show.action?id=12dbd584-b256-4ca3-a0f2-5e2e414f7e46
Hebting JM, Ferrand G. Kinésithérapie de la face, du crâne et du cou. Issy-les-Moulineaux: Elsevier Masson, 2015. [Accessed 2021 Jan 01]. Available from: https://www.elsevier-masson.fr/kinesitherapie-de-la-face-du-crane-et-du-cou-9782294730924.html
Cros A, Boulanger M, Courtois B, Pomar P, Vigarios E. Prothèses obturatrices après maxillectomie : bases fondamentales et thérapeutiques. EDP Sciences. 2015. https://doi.org/10.1051/aos/2015112
Benfdil F, Bentahar O, Benamar A, Aguenaou A, Ahmed A. Prise en charge des pertes de substances maxillaires intérêt des résines à prise retardée. Actual Odonto-Stomatol. 2008; 241: 5-84. https://doi.org/10.1051/aos:2008006
Sabir S, Hasnaa R, Azhari M, Hamzaoui S, El Hawari W, Nadia M et al.., « La massothérapie en prothèse maxillo-faciale. 2019; 25 (4): 9. https://doi.org/10.1684/met.2019.0801
Luc S. Repercussion de la radiotherapie des voies aerodigestives superieures dans la prise en charge odontologique. Unpublihed Research. 2010; 288. Available from: Available: https://inis.iaea.org/collection/NCLCollectionStore/_Public/46/058/46058134.pdf
Rose T, LecoP, Wilson J. The Development of Simple Daily Jaw Exercises for Patients Receiving Radical Head and Neck Radiotherapy. J Med Imaging Radiat Sci. 2009;40(1):32-37. https://doi.org/10.1016/j.jmir.2009.01.002
Vo Quang S, Dichamp J. Appareil manducateur et prothèse maxillo-faciale : de la pathologie à la fonction retrouvée. Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale. 2016; 117(6):p. 379-387. https://doi.org/10.1016/j.revsto.2016.05.006
Mesnard F. Prise en charge de la constriction permanente des maxillaires post-radique (ou trismus post-radique): étatde l’art et enquête nationale. Médecine humaine et pathologie. 2015. [Accessed 2021 Jan 01]. Available from: https://dumas.ccsd.cnrs.fr/dumas-01497491/document
Masson E. Limitations d’ouverture de bouche. EM-Consulte. https://doi.org/10.1016/S1283-0852(10)55132-2
Pauli N, Fagerberg-Mohlin B, Andréll P, Finizia C. Exercise intervention for the treatment of trismus in head and neck cancer. Acta Oncol.2014 Apr;53(4):502-9. https://doi.org/10.3109/0284186X.2013.837583
Delanian S. Fracture mandibulaire sur ostéoradionécrose : option conservatrice médicale « Pentoclo » ? Cancer/Radiothérapie. 2014; 18( 5–6):629. https://doi.org/10.1016/j.canrad.2014.07.121
Stubblefield MD, Levine A, Custodio CM, Fitzpatrick T. The Role of Botulinum Toxin Type A in the Radiation Fibrosis Syndrome: A Preliminary Report. Arch Phys Med Rehabil. 2008 Mar;89(3):417-21. https://doi.org/10.1016/j.apmr.2007.11.022
Bhrany AD, Izzard M, Wood AJ, Futran ND. Coronoidectomy for the Treatment of Trismus in Head and Neck Cancer Patients. Laryngoscope. 2007 Nov;117(11):1952-6.
Delanian S, Chatel C, Porcher R, Depondt J, Lefaix JL. Complete restoration of refractory mandibular osteoradionecrosis by prolonged treatment with a pentoxifylline-tocopherol-clodronate combination (PENTOCLO): a phase II trial. Int J Radiat Oncol Biol Phys. 2011 Jul 1;80(3):832-9. https://doi.org/10.1016/j.ijrobp.2010.03.029
Pitak-Arnnop P, Sader R, Dhanuthai K, Masaratana P, Bertolus C, Chaine A, et al. Management of osteoradionecrosisof the jaws: an analysis of evidence. Eur J Surg Oncol. 2008 Oct;34(10):1123-34. https://doi.org/10.1016/j.ejso.2008.03.014
Robard L, Louis MY, Blanchard D, Babin E, Delanian S. Traitement médical des ostéoradionécroses mandibulaires par PENTOCLO : résultats préliminaires. Eur Ann Otorhinolaryngol Head Neck Dis. 2014 Dec;131(6):333-338. https://doi.org/10.1016/j.anorl.2013.11.006
Sultan Ahmed, Hanna GJ, Margalit DN, Chau N, Goguen LA , Marty FM et al. The Use of Hyperbaric Oxygen for the Prevention and Management of Osteoradionecrosis of the Jaw: A Dana‐Farber/Brigham and Women’s Cancer Center Multidisciplinary Guideline Oncologist. 2017 Mar;22(3):343-350. https://doi.org/10.1634/theoncologist.2016-0298
De Moor RJG, Stassen IG, Veldt YV, Torbeyns D, Hommez GMG. Two-year clinical performance of glass ionomer and resin composite restorations in xerostomic head-and neck-irradiated cancer patients. Clin Oral Investig. 2011 Feb;15(1):31-8.
Thariat J, de Mones E, Darcourt V, Poissonnet G, Marcy PY, Guevara N, et al. Dent et irradiation : prévention et traitement des complications dentaires de la radiothérapie y compris l’ostéoradionécrose. Cancer Radiother. 2010 Apr;14(2):137-44. https://doi.org/10.1016/j.canrad.2009.09.010
Naik B, Karunakar P, Jayadev M, Marshal VR. Role of Platelet rich fibrin in wound healing: A critical review. J Conserv Dent. 2013 Jul;16(4):284-93. https://doi.org/10.4103/0972-0707.114344
Rokhssi H, Rokhssi S, Sikkou K, Merzouk N, Bentahar O. LA GESTION DU PATIENT IRRADIÉ ENPROTHÈSE AMOVIBLE COMPLÈTE. Afric J Dent Implantolog. 2018; (13):14. [Accessed 2021 Jan 01]. Available: https://revues.imist.ma/index.php/AJDI/article/view/15843/8851
Bentahar O, Pomar P, Fusaro S, Benfdil F, Aguenaou A, Abdedine A. Prothèses obturatrices après maxillectomie : bases fondamentales et thérapeutique. Encycl Médic Chirur Stomatologie. Elsevier Masson SAS;10:22-066. https://doi.org/10.1016/S1283-0852(08)50090-5
Schoen PJ, Reintsema H, Raghoebar GM, Vissink A, Roodenburg JLN. The use of implant retained mandibular prostheses in the oral rehabilitation of head and neck cancer patients. A review and rationale for treatment planning. Oral Oncol. 2004 Oct;40(9):862-71. https://doi.org/10.1016/j.oraloncology.2003.08.024
Barber AJ, Butterworth CJ, Rogers SN. Systematic review of primary osseointegrated dental implants in head and neck oncology. Br J Oral Maxillofac Surg. 2011 Jan;49(1):29-36. https://doi.org/10.1016/j.bjoms.2009.12.007
Schepers RH, Slagter AP, Kaanders JHAM, van den Hoogen FJA,Merkx MA W. Effect of postoperative radiotherapy on the functional result of implants placed during ablative surgery for oral cancer. Int J Oral Maxillofac Surg. 2006 Sep;35(9):803-8. https://doi.org/10.1016/j.ijom.2006.03.007
Guyot JP, Hugentobler M. Implants dentaires et radiothérapie. Rev Med Suisse. 2009; 5: 1936-1939. [Accessed 2021 Jan 01]. Available from: https://www.revmed.ch/RMS/2009/RMS-219/Implants-dentaires-et-radiotherapie
Curi MM, Condezo AFB, Ribeiro KDCB, Cardoso CL. Long-term success of dental implants in patients with head and neck cancer after radiation therapy. Int J Oral Maxillofac Surg. 2018 Jun;47(6):783-788. https://doi.org/10.1016/j.ijom.2018.01.012
Anderson L, Meraw S, Al-Hezaimi K, Wang HL. The influence of radiation therapy on dental implantology. Implant Dent. 2013 Feb;22(1):31-8. https://doi.org/10.1097/ID.0b013e31827e84ee
Shah DN, Chauhan CJ, Solanki JS. Effectiveness of hyperbaric oxygen therapy in irradiated maxillofacial dental implant patients: A systematic review with meta-analysis. J Indian Prosthodont Soc. Apr-Jun 2017;17(2):109-119 C. https://doi.org/10.4103/0972-4052.203193
Chrcanovic BR, Albrektsson T, Wennerberg A. Dental implants in irradiated versus nonirradiated patients: A meta-analysis. Head Neck. 2016 Mar;38(3):448-81. https://doi.org/10.1002/hed.23875
Buddula A, Assad DA, Salinas TJ, Garces YI. Survival of dental implants in native and grafted bone in irradiated head and neck cancer patients: A retrospective analysis. Indian J Dent Res. Sep-Oct 2011;22(5):644-8. https://doi.org/10.4103/0970-9290.93449
Di Carlo S, De Angelis F, Ciolfi A , Quarato A , Piccoli L, Pompa G, et al. Timing for implant placement in patients treated with radiotherapy of head and neck Clin Ter. Sep-Oct 2019;170(5):e345-e351.https://doi.org/10.7417/CT.2019.2153
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 El Hawari W