Sciubba James J, Goldenberg David
Division of Dental and Oral Medicine, Department of Otolaryngology, Johns Hopkins University, Baltimore, MD 21287-0910, USA.
Lancet Oncol. 2006 Feb;7(2):175-83. doi: 10.1016/S1470-2045(06)70580-0.
Radiotherapy-induced damage in the oral mucosa is the result of the deleterious effects of radiation, not only on the oral mucosa itself but also on the adjacent salivary glands, bone, dentition, and masticatory musculature and apparatus. Biological response modifiers, cytoprotective drugs, salivary-sparing radiation techniques, and surgery have been introduced to combat and, more importantly, to prevent, the development of these complications. Radiotherapy-induced oral complications are complex, dynamic pathobiological processes that lower the quality of life and predispose patients to serious clinical disorders. Here, we focus on these oral complications of radiotherapy, highlight preventive and therapeutic developments, and review the current treatment options available for these disorders.
放疗引起的口腔黏膜损伤是辐射有害作用的结果,这种有害作用不仅针对口腔黏膜本身,还涉及相邻的唾液腺、骨骼、牙列以及咀嚼肌肉组织和器官。生物反应调节剂、细胞保护药物、唾液保留放疗技术和手术已被引入,以对抗这些并发症,更重要的是预防其发生。放疗引起的口腔并发症是复杂、动态的病理生物学过程,会降低生活质量,并使患者易患严重的临床疾病。在此,我们聚焦于放疗引起的这些口腔并发症,强调预防和治疗方面的进展,并综述针对这些疾病目前可用的治疗选择。