Fischer Dena J, Epstein Joel B
Department of Oral Medicine and Diagnostic Sciences, University of Illinois at Chicago College of Dentistry, 801 South Paulina Street, MC 838, Chicago, IL 60612-7213, USA.
Dent Clin North Am. 2008 Jan;52(1):39-60, viii. doi: 10.1016/j.cden.2007.09.004.
Patients who undergo treatment for head and neck cancers often suffer from acute or late reactions to therapy. Severity of these oral complications may be based on the location and extent of tumor, as well as the type and extent of treatment. Some complications are transient, whereas others require a lifetime of management secondary to damage that results in permanent dysfunction. Patients who have a history of head and neck cancers are also at an increased risk for recurrences or second malignancies, and therefore require close follow-up. Dental professionals should provide preventive and supportive care, including education and symptom management, for patients experiencing oral complications related to cancer therapy, and should closely monitor patients' level of distress, ability to cope, and treatment response.
接受头颈癌治疗的患者常常会遭受治疗的急性或晚期反应。这些口腔并发症的严重程度可能取决于肿瘤的位置和范围，以及治疗的类型和程度。有些并发症是暂时的，而另一些则因造成永久性功能障碍的损伤而需要终身管理。有头颈癌病史的患者复发或患第二原发性恶性肿瘤的风险也会增加，因此需要密切随访。牙科专业人员应为经历与癌症治疗相关口腔并发症的患者提供预防性和支持性护理，包括教育和症状管理，并应密切监测患者的痛苦程度、应对能力和治疗反应。
