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진행성 치성감염 병소들을 가진 두경부 악성종양 환자에서 조기 방사선치료를 위한 치성감염 조절법 : 증례보고

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Author(s)
유재하이종영정원균김영남장선옥전현선김종배남기영
Keimyung Author(s)
Kim, Jong BaeNam, Ki Young
Department
Dept. of Dentistry (치과학)
Journal Title
대한구강악안면외과학회지
Issued Date
2006
Volume
32
Issue
2
Abstract
The side effects of head and neck radiation therapy include mucositis, xerostomia, loss of taste, radiation caries, oral infection, osteoradionecrosis and trismus.

When a patient is arranged to begin head & neck radiotherapy, oral pathologic lesions are examined and managed for the prevention of oral complications.

The advanced odontogenic infection should be especially controlled before the radiotherapy and the patient must be instructed for proper oral prophylaxis.

Generally the more conservative treatments, such as, scaling, restoration, endodontic treatment, are the care of choice and dental extraction is performed in advanced periapical and periodontal pathologic conditions.

If the dental extraction should be done, the radiotherapy consequently will be delayed until there is epithelium covering the extraction socket, leaving no exposed bone.

The cancer patient with severe emotional stress pray for the early radiation therapy, in spite of possibility of the recurrent odontogenic infectious lesions.

So, the authors attempted to do the early radiation therapy by the conservative endodontic drainage and surgical incision & drainage without extraction of the infected teeth, and resulted in relatively good prognosis without the severe side effects of head and neck radiotherapy.
Alternative Title
THE INFECTION CONTROL METHOD FOR EARLY RADIATION THERAPY IN THE HEAD & NECK CANCER PATIENTS WITH ADVANCED ODONTOGENIC INFECTIOUS LESIONS : REPORT OF CASES
Keimyung Author(s)(Kor)
김종배
남기영
Publisher
School of Medicine
Citation
유재하 et al. (2006). 진행성 치성감염 병소들을 가진 두경부 악성종양 환자에서 조기 방사선치료를 위한 치성감염 조절법 : 증례보고. 대한구강악안면외과학회지, 32(2), 168–173.
Type
Article
ISSN
2234-7550
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37673
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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