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Medicina Fluminensis : Medicina Fluminensis, Vol. 51 No. 2, 2015.

Case report

Radiation induced oral mucositis – therapeutic strategy in a case report

Miranda Muhvić Urek ; Katedra za oralnu medicinu i parodontologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Irena Glažar ; Katedra za oralnu medicinu i parodontologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Alen Braut ; Katedra za endodonciju i restaurativnu stomatologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Sonja Pezelj-Ribarić ; Katedra za oralnu medicinu i parodontologiju, Studij Dentalne medicine, Medicinski fakultet Sveučilišta u Rijeci, Rijeka

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Abstract

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.

Keywords

mucositis; radiotherapy

Hrčak ID:

139478

URI

https://hrcak.srce.hr/139478

Publication date:

1.6.2015.

Article data in other languages: croatian

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