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牙医参与放射性口腔黏膜炎的治疗——一项试点横断面研究

Dentist Involvement in the Treatment of Radiation-Induced Oral Mucositis-A Pilot Cross-Sectional Study.

作者信息

Vladić Monika Burja, Andabak-Rogulj Ana, Gršić Krešimir, Brailo Vlaho, Brzak Božana Lončar, Škrinjar Ivana, Juras Danica Vidović

机构信息

Department of Oral Medicine, University of Zagreb School of Dental Medicine, 10000 Zagreb, Croatia.

Department of Oral Medicine, University of Zagreb School of Dental Medicine, University Hospital Center Zagreb, 10000 Zagreb, Croatia.

出版信息

Dent J (Basel). 2024 May 8;12(5):134. doi: 10.3390/dj12050134.

Abstract

Oral mucositis (OM) occurs in more than 95% of patients irradiated in the head and neck area. This paper aims to determine the occurrence and characteristics of OM in patients with head and neck cancer (HNC), as well as the involvement of dentists/oral medicine specialists in treating such patients. : This study was conducted at the Department of Otorhinolaryngology and Department of Oral Medicine, University Hospital Center Zagreb, from April to August 2022, on patients irradiated in the head and neck area. A unique OM questionnaire was created on the incidence, characteristics, oral care, and involvement of dentists in the overall care. : Thirty patients filled out the questionnaire. Of the 22 patients who had developed OM, 14 had grade-three OM. Ten patients were treated for OM in line with the instructions of an oral medicine specialist, eight based on the instructions of a specialist responsible for monitoring of the underlying disease, and four were not treated at all. Sixteen patients had not been referred to a dentist before the start of RT. : These results showed insufficient care and treatment of OM, as well as insufficient involvement of dentists in the oncology team.

摘要

口腔黏膜炎(OM)发生于超过95%的头颈部接受放疗的患者中。本文旨在确定头颈部癌(HNC)患者中OM的发生情况和特征,以及牙医/口腔医学专家在治疗此类患者中的参与情况。:本研究于2022年4月至8月在萨格勒布大学医院中心的耳鼻喉科和口腔医学科对接受头颈部放疗的患者进行。创建了一份关于OM发病率、特征、口腔护理以及牙医在整体护理中的参与情况的独特问卷。:30名患者填写了问卷。在22名发生OM的患者中,14名患有三级OM。10名患者按照口腔医学专家的指示接受了OM治疗,8名根据负责监测基础疾病的专家的指示接受治疗,4名根本未接受治疗。16名患者在放疗开始前未被转诊至牙医处。:这些结果表明对OM的护理和治疗不足,以及牙医在肿瘤治疗团队中的参与不足。

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