Debridement Could Be a Solution to Promote Healing of Established Oral Mucositis in Children
Overview
Pediatrics
Authors
Affiliations
Aim: The aim of the study was to present a novel approach to promote healing of established oral mucositis and to alleviate symptom clusters in a group of children who were on induction chemotherapy.
Study Design: A clinical prospective study.
Methods: Children (40) diagnosed with Grade 3 or 4 oral mucositis were randomly assigned into two groups: In Group I (n=20), accumulated debris on ulcerations was removed (debridement); In Group II (n=20), subjects had no debridement. The condition of oral lesions, speech, lips, teeth, saliva, gingiva, and swallowing ability were examined 3 x week during the study. All subjects received the same oral care regimen. They were well balanced in respect of age, the type of antineoplastic treatment, and the number.
Results: Debridement promoted resolution and decreased the severity of oral mucositis significantly. Thus, the subjects had less oral discomfort, pain, and nutritional difficulties.
Statistics: The data were entered in the SPSS 13.0 program, and the tests used were Kolmogorov-Smirnov, Shapiro-Wilk, Mann-Whitney, and Spearman's correlation coefficient with a 5% significance level.
Conclusion: Well-controlled, prospective clinical studies related to the management of established oral mucositis will lead to the development of potential interventions and improved patient care.
Andriakopoulou C, Yapijakis C, Koutelekos I, Perdikaris P In Vivo. 2024; 38(3):1016-1029.
PMID: 38688628 PMC: 11059879. DOI: 10.21873/invivo.13535.
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