Maureen Sullivan
Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Surg Oncol Clin N Am. 2004 Jan;13(1):37-46. doi: 10.1016/S1055-3207(03)00121-2.
A comprehensive dental oncologic screening should be part of the pretreatment workup of patients who have head and neck cancer. This screening should be performed by a dentist who is familiar with the pathologic process of disease and type of treatment being rendered; in addition, he or she should comprehend the various morbidities associated with eradicating head and neck malignancy. The dental oncologist must provide the timeline for the surgeon and radiation oncologist in which all necessary dental treatment will be completed. It is important at this juncture to educate the patient as to the possible short- and long-term complications,no matter what treatment course they choose.Osseointegrated implants used in the rehabilitation of patients who have undergone head and neck surgery have provided a more reliable means of retaining intraoral and extraoral prostheses. With close communication between the head and neck surgeon and dental oncologist, and careful patient selection, better functional outcomes may be provided.
全面的口腔肿瘤筛查应成为头颈癌患者术前检查的一部分。这种筛查应由熟悉疾病病理过程和所提供治疗类型的牙医进行；此外，他或她应了解根除头颈恶性肿瘤相关的各种并发症。口腔肿瘤学家必须为外科医生和放射肿瘤学家提供完成所有必要牙科治疗的时间表。在这个阶段，无论患者选择何种治疗方案，向其说明可能的短期和长期并发症都很重要。用于头颈外科手术后患者康复的骨整合植入物提供了一种更可靠的保留口腔内和口腔外假体的方法。通过头颈外科医生和口腔肿瘤学家之间的密切沟通以及仔细的患者选择，可以提供更好的功能结果。
