头颈部癌症患者的牙科管理：病例报告。

Dental management of a patient with head and neck cancer: a case report.

机构信息

NIHR Academic Clinical Fellow in Special Care Dentistry, Special Care Dentistry Department, Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, 256 Gray's Inn Road, London, UK.

Consultant in Special Care Dentistry, Special Care Dentistry Department, Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, 256 Gray's Inn Road, London, UK.

出版信息

Br Dent J. 2019 Jul;227(1):25-29. doi: 10.1038/s41415-019-0464-7.

DOI:10.1038/s41415-019-0464-7

PMID:31300776

Abstract

Head and neck cancer is the eighth most common cancer in the UK. Management may include surgery, chemotherapy, radiotherapy or a combination of these. A multidisciplinary approach is required, with the dental team forming an integral part of the patient pathway. Prior to commencement of cancer therapy, patients should have a dental assessment and urgent treatment should be provided as necessary. This article presents the case of a 49-year-old male with previous T4N0M0 squamous cell carcinoma of the pharynx. Surgery, chemotherapy and radiotherapy had been provided four years prior to presentation. The patient had significant post-operative complications of cancer therapy which were significantly affecting his quality of life. The patient underwent dental treatment, including preventive care, periodontal therapy and restorative care, with the multidisciplinary dental team. This case illustrates that oral assessment and urgent dental treatment should start prior to cancer treatment. Post-operative regular dental follow-ups should be instigated for monitoring and maintenance.

摘要

头颈部癌症是英国第八大常见癌症。其治疗方法可能包括手术、化疗、放疗或这些方法的联合应用。需要采取多学科的方法，牙科团队是患者治疗途径的重要组成部分。在开始癌症治疗之前，患者应进行牙科评估，并根据需要提供紧急治疗。本文介绍了一位 49 岁男性的病例，他曾患有 T4N0M0 期咽鳞癌。四年前他接受了手术、化疗和放疗。该患者在癌症治疗后出现了严重的术后并发症，这极大地影响了他的生活质量。该患者接受了多学科牙科团队的治疗，包括预防性护理、牙周治疗和修复治疗。这个病例说明了在癌症治疗之前就应该进行口腔评估和紧急牙科治疗。应该为监测和维护目的在术后定期进行牙科随访。