Manejo da osteorradionecrose em pacientes submetidos à radioterapia de cabeça e pescoço
Abstract
Os efeitos colaterais da radioterapia instituída para tratamento de pacientes com câncer da região de cabeça e pescoço interferem significativamente na qualidade de vida desses indivíduos. Entre esses efeitos, podem-se citar mucosite, hipossialia, ageusia, cáries por radiação, trismo e osteorradionecrose (ORN). Esta última constitui uma complicação grave e de difícil tratamento. A presente revisão da literatura objetiva enfatizar aspectos da osteorradionecrose, abordando fatores etiológicos, características clínicas e radiográficas, prevalência, tratamento e prognóstico da enfermidade. O cumprimento de medidas protocolares antes, durante e após a radioterapia de cabeça e pescoço previne e minimiza a ocorrência de complicações como a ORN. As consultas de controle após o término da radioterapia são imprescindíveis e devem ser garantidas pela conscientização do paciente sobre a importância das mediadas preventivas.
UNITERMOS: câncer de cabeça e pescoço; osteorradionecrose; radioterapia.
SUMMARY
Radiotherapy appointed for the treatment of patients with head and neck cancer presents side effects which interfere significantly with the patients’ quality of life. Mucous inflammation, hyposialia, loss of taste, radiation caries, trismus, and osteoradionecrosis (ORN) are among these side effects. ORN represents a serious complication of difficult treatment. The present literature review aims to emphasize aspects of ORN approaching the pathology’s etiologic factors, clinical and radiographic characteristics, prevalence, treatment and prognosis. Compliance with protocol procedures both prevents and reduces the development of complications such as ORN. After finishing radiotherapy, follow-up consultations are indispensable and to assure them the patient should be aware of the importance of preventive procedures.
UNITERMS: head and neck cancer; osteoradionecrosis; radiotherapy.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.