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Oral Health Management of Three Head and Neck Cancer Patients Performed by Dental Hygienists

Health 2023年第12期15卷 1402-1414页

作者： Aiko Hoshiai Meiko Oki Taiji Hoshiai Toshiaki Iida Yuka I. Sumita Shigeru Watanabe Department of Pediatric Dentistry/Special Needs Dentistry Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan Department of Oral Health Sciences School of Health Sciences Meikai University Chiba Japan Department of Basic Oral Health Engineering Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan Department of Dentistry Tokyo Metropolitan Fuchu Medical Center for the Disabled Tokyo Japan TI Dental Clinic Tokyo Japan Division of General Dentistry 4 The Nippon Dental University Hospital Tokyo Japan Tokyo Medical and Dental University (TMDU) Tokyo Japan

Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.

关键词： Head and Neck Cancer Dental Hygienist Oral Health Management Maxillectomy Mandibulectomy interstitial radiotherapy

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