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Clinical Management of Salivary Gland Hypofunction and Xerostomia in Head-and-neck Cancer Patients: Successes and Barriers

Overview
Specialties Oncology
Radiology
Date 2010 Oct 26
PMID 20970030
Citations 138
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Abstract

The most significant long-term complication of radiotherapy in the head-and-neck region is hyposalivation and its related complaints, particularily xerostomia. This review addresses the pathophysiology underlying irradiation damage to salivary gland tissue, the consequences of radiation injury, and issues contributing to the clinical management of salivary gland hypofunction and xerostomia. These include ways to (1) prevent or minimize radiation injury of salivary gland tissue, (2) manage radiation-induced hyposalivation and xerostomia, and (3) restore the function of salivary gland tissue damaged by radiotherapy.

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References
1.
Lombaert I, Brunsting J, Wierenga P, Faber H, Stokman M, Kok T . Rescue of salivary gland function after stem cell transplantation in irradiated glands. PLoS One. 2008; 3(4):e2063. PMC: 2329592. DOI: 10.1371/journal.pone.0002063. View

2.
Zeilstra L, Vissink A, Konings A, Coppes R . Radiation induced cell loss in rat submandibular gland and its relation to gland function. Int J Radiat Biol. 2000; 76(3):419-29. DOI: 10.1080/095530000138763. View

3.
Vissink A, Jansma J, Spijkervet F, Burlage F, Coppes R . Oral sequelae of head and neck radiotherapy. Crit Rev Oral Biol Med. 2003; 14(3):199-212. DOI: 10.1177/154411130301400305. View

4.
ROUKEMA P, Panders A . The effect of mucin-containing artificial saliva on severe xerostomia. Int J Oral Surg. 1974; 3(6):435-9. DOI: 10.1016/s0300-9785(74)80009-8. View

5.
Wasserman T, Brizel D, Henke M, Monnier A, Eschwege F, Sauer R . Influence of intravenous amifostine on xerostomia, tumor control, and survival after radiotherapy for head-and- neck cancer: 2-year follow-up of a prospective, randomized, phase III trial. Int J Radiat Oncol Biol Phys. 2005; 63(4):985-90. DOI: 10.1016/j.ijrobp.2005.07.966. View