Yıl: 2019 Cilt: 29 Sayı: 3 Sayfa Aralığı: 485 - 490 Metin Dili: Türkçe İndeks Tarihi: 10-12-2019

LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU

Öz:
Laringeal squamoz hücreli kanserlerin tedavisindetransoral lazer cerrahisi, radyoterapi, kemoterapi veyabu tedavilerin kombinasyonları kullanılmaktadır.Yüksek doz raduoterapi uygulandığı zaman bu durumhastanın oral sağlığını etkileyebilmektedir. Radyasyontedavisinin yan etkileri mukozit, tükürük bezlerindefonksiyon değişiklikleri ve mukozal infeksiyonrisklerinin artmasını içermektedir. Kserostomi boyunradyoterapileri sonunda yaygın gözlenen önemli birsonuçtur. Tükürük kaybına bağlı olarak gelişenkserostomide rampant kariesler, bakterial infeksiyonlarve periodontal hastalıklara yatkınlık oluşmaktadır. Buistenmeyen yan etkiler hastanın yaşam kalitesiniolumsuz etkilemektedir. Bu vaka raporunun amacı;Laringeal squamoz hücreli kanserden dolayı parsiyellaringektomi ve bilateral boyun diseksiyonu kansercerrahisi geçiren ve post operatif radyoterapi görenhastanın sabit ve hareketli dental protezler ile tedavisisunulmaktadır.
Anahtar Kelime:

Konular: Diş Hekimliği

PATIENT WITH LARYNGEAL SQUAMOUS CELL CANCER AFTER POSTOPERATIVE RADIATION THERAPY FIXED-REMOVABLE DENTAL PROSTHESIS: A CASE REPORT

Öz:
Transoral endoscopic laser surgery, radiotherapy, chemotheraphy or combination of these are used in the management of laryngeal squamous cell cancers. When the neck tissues are exposed to high doses of radiation, this may affect the patient’s oral health. The side effects of radiation therapy include mucositis, altered salivary gland function and risk of mucosal infection. Xerostomia is a common and significant consequence of neck radiotherapy. Because of the loss of saliva, patients with xerostomia are more susceptible to periodontal disease, bacterial infections and rampant caries. These undiserable side effects can adversely affect patients’ life quality. The aim of this case report is to the fabrication of fixed and removable dental prosthesis for a patient with laryngeal squamous cell cancer because of partial laryngectomy and bilateral functional neck dissection cancer surgery and postoperative radiotherapy.
Anahtar Kelime:

Konular: Diş Hekimliği
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Beuer Li P, Hu W, Zhu Y, Liu J. Treatment and predictive factors in patients with recurrent laryngeal carcinoma: A retrospective study Oncology Letters 2015;10:3145-52.
  • Devi S, Singh N. Dental care during and after radiotherapy in head and neck cancer. National J Maxillofac Surg 2014;5:117-24.
  • Ward MC, Reddy CA, Adelstein DJ, Koyfman SA. Use of systemic therapy with definitive radiotherapy for elderly patients with head and neck cancer: A national cancer data base analysis. Cancer 2016;122:3472-83.
  • Lee DH, Kim SY, Nam SY, Choi SH, Choi JW, Roh JL. Risk factors of surgical site infection in patients undergoing major oncological surgery for head and neck cancer. Oral Oncol 2011;47:528–31.
  • Mendenhall WM, Dagan R, Bryant CM, Amdur RJ, Mancuso AA. Definitive Radiotherapy for Squamous Cell Carcinoma of the Glottic Larynx. Cancer Control 2016;23:208-12.
  • Silver CE, Beitler JJ, Shaha AR, Rinaldo A, Ferlito A. Current trends in initial management of laryngeal cancer: the declining use of open surgery. Eur Arch Otorhinolaryngol 2009;266:1333-52.
  • Yang Y, Wang T. Radiotherapy of the neck and carotid stenosis. J Biol Regul Homeost Agents 2016; 30:795-9.
  • Hartmann S, Grandis JR. Treatment of head and neck cancer in the elderly. Expert Opin Pharmacother 2016; 17:1903-21.
  • Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of postlaryngectomy pharyngocutaneous fistula. ArchOtolaryngol Head Neck Surg. 2006;132:67–72.
  • Sciubba JJ, Goldenberg D. Oral complications of radiotherapy. Lancet Oncol 2006;7:175-83.
  • Rothwell BR. Prevention and treatment of the orofacial complications of radiotherapy. J Am Dent Assoc 1987;114:316-22.
  • Naidu MU, Ramana GV, Rani PU, Mohan IK, Suman A, Roy P. Chemotherapy-induced and/or radiation therapy-induced oral mucositis–complicating the treatment of cancer. Neoplasia 2004;6:423-31.
  • Lanzós I, Herrera D, Lanzós E, Sanz M. A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain). J Clin Exp Dent 2015;7:613-21.
  • Laan HP, Bijl HP, Steenbakkers RJHM, Schaaf A, Chouvalova O, Vemer-van den Hoek JGM, Gawryszuk A, van der Laan BFAM, Oosting SF, Roodenburg JLN, Wopken K, Langendijk JA. Acute symptoms during the course of head and neck radiotherapy or chemoradiation are strong predictors of late dysphagia. Radiotherapy Oncology 2015;115:56–62.
  • Fattore L, Rosenstein HE, Fine L. Dental rehabilitation of the patient with severe caries after radiation therapy. Spec Care Dentist 1986;6:258- 61.
  • Gupta N, Pal M, Rawat S, Grewal MS, Garg H, Chauhan D, Ahlawat P, Tandon S, Khurana R, Pahuja AK, Mayank M, Devnani B. Radiation‑induced dental caries, prevention and treatment‑A systematic review. National J Maxillofac Surg 2015;6:160-6.
  • Furness S, Worthington H, Bryan G, Birchenough S, McMillan R. Interventions for the management of dry mouth: topical therapies (Review). Cochrane Database Syst Rev. 2011;12:CD008934.
  • Andrews N, Griffiths C. Dental complications of head and neck radiotherapy: Part 1. Aust Dent J 2001;46:88-94.
  • Claudy MP, Miguens SA Jr, Celeste RK, Camara Parente R, Hernandez PA, da Silva AN Jr. Time Interval after Radiotherapy and Dental Implant Failure: Systematic Review of Observational Studies and Meta-Analysis. Clin Implant Dent Relat Res 2015;17:402-11.
  • Hancock Pamela J, Epstein Joel B, Georgia Robins Sadler. Oral and Dental Management Related to Radiation Therapy for Head and Neck Cancer. J Can Dent Assoc 2003;69:585-90.
  • Kim JE, Kim NH, Shim JS. Fabrication of a complete, removable dental prosthesis from a digital intraoral impression for a patient with an excessively tight reconstructed lip after oral cancer treatment: A clinical report. J Prosthet Dent 2016;117:205-8.
  • Brennan MT, Shariff G, Lockhart PB, Fox PC. Treatment of xerostomia: A systematic review of therapeutic trials. Dent Clin North Am 2002;46:847‑56.
  • Rius JM, Llobet LB, Soler EL, Farré M. Salivary Secretory Disorders, Inducing Drugs, and Clinical Management. Int J Med Sci 2015;12:811-16.
  • Byrne BE. Oral manifestations of systemic agents. In: ADA guide to dental therapeutics. Chicago: ADA Publishing; 1998:469-75.
  • Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth. Gerodontology 1986;5:75- 99.
  • von Bültzinglöwen I, Sollecito TP, Fox PC, Daniels T, Jonsson R, Lockhart PB, et al. Salivary dysfunction associated with systemic diseases: systematic review and clinical management recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:1-15.
  • Çağlayan F, Harorlı A, Çakur B. Tükürük bezlerinin radyografik muayene yöntemleri ve sialografi. Atatürk Üniv DiĢ Hek Fak Derg 2003;13:99-111.
APA AĞAN H, GÜRBÜZ A, DURKAN R, DESTE G (2019). LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. , 485 - 490.
Chicago AĞAN HATİCE,GÜRBÜZ AYHAN,DURKAN Rukiye,DESTE Gonca LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. (2019): 485 - 490.
MLA AĞAN HATİCE,GÜRBÜZ AYHAN,DURKAN Rukiye,DESTE Gonca LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. , 2019, ss.485 - 490.
AMA AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. . 2019; 485 - 490.
Vancouver AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. . 2019; 485 - 490.
IEEE AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G "LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU." , ss.485 - 490, 2019.
ISNAD AĞAN, HATİCE vd. "LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU". (2019), 485-490.
APA AĞAN H, GÜRBÜZ A, DURKAN R, DESTE G (2019). LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 29(3), 485 - 490.
Chicago AĞAN HATİCE,GÜRBÜZ AYHAN,DURKAN Rukiye,DESTE Gonca LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29, no.3 (2019): 485 - 490.
MLA AĞAN HATİCE,GÜRBÜZ AYHAN,DURKAN Rukiye,DESTE Gonca LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol.29, no.3, 2019, ss.485 - 490.
AMA AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2019; 29(3): 485 - 490.
Vancouver AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2019; 29(3): 485 - 490.
IEEE AĞAN H,GÜRBÜZ A,DURKAN R,DESTE G "LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU." Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 29, ss.485 - 490, 2019.
ISNAD AĞAN, HATİCE vd. "LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29/3 (2019), 485-490.