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放射治疗假体

Radiotherapy prostheses.

作者信息

Taniguchi H

机构信息

Department of Maxillofacial Prosthetics, Maxillofacial Reconstruction and Function, Graduate School, Tokyo Medical and Dental University, Japan.

出版信息

J Med Dent Sci. 2000 Mar;47(1):12-26.

Abstract

The orofacial region performs the essential functions of mastication and speech, as well as that of appearance, which for better or worse evokes an instant and instinctive response in other people. In this region, tissue loss caused by surgical resection of a malignant tumor has a tremendous negative impact on the patient's quality of life, with deep mental and psychological repercussions. Therefore, from the standpoint of preserving form and function, radiotherapy has a major role to play in the treatment of malignant tumors in the orofacial region. That said, important organs, such as sensory organs, are present in close proximity to each other in this small region. During the irradiation process, therefore, it is important to ensure that the lesion is sufficiently irradiated while simultaneously protecting the surrounding normal tissue. In certain cases of radiotherapy of malignant tumors of the orofacial region, the use of radiotherapy prostheses can help to satisfy a basic principle of radiotherapy: that of delivering a lethal dose to the tumor while minimizing irradiation to normal tissue. In recent years, medical and dental experts have taken a team approach to creating and employing a variety of radiotherapy prostheses, working towards improving the treatment record for malignant tumors as well as reducing complications in surrounding normal tissue. As a result, patients treated with radiotherapy prostheses are now able to receive post-radiotherapy prosthodontic treatment in a dramatically safer and more rapid manner. It is clear that radiotherapy prostheses contribute significantly to the improvement of these patients' quality of life.

摘要

口腔颌面部具有咀嚼、言语等基本功能,以及外观功能,无论好坏,都会在他人心中引发即时的本能反应。在该区域,恶性肿瘤手术切除导致的组织缺损对患者生活质量有巨大负面影响,会产生深刻的精神和心理影响。因此,从保留形态和功能的角度来看,放射治疗在口腔颌面部恶性肿瘤的治疗中具有重要作用。也就是说,在这个小区域内,感觉器官等重要器官彼此相邻。因此,在放疗过程中,确保病变得到充分照射同时保护周围正常组织非常重要。在口腔颌面部恶性肿瘤的某些放疗病例中,使用放疗假体有助于满足放疗的一项基本原则:即向肿瘤输送致死剂量,同时尽量减少对正常组织的照射。近年来,医学和牙科专家采取团队协作方式来制作和应用各种放疗假体,致力于改善恶性肿瘤的治疗效果,并减少周围正常组织的并发症。结果,接受放疗假体治疗的患者现在能够以显著更安全、更快速的方式接受放疗后修复治疗。显然,放疗假体对改善这些患者的生活质量有重大贡献。

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