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Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers.


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.

SUBMITTER: Vissink A 

PROVIDER: S-EPMC2964345 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature

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Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers.

Vissink Arjan A   Mitchell James B JB   Baum Bruce J BJ   Limesand Kirsten H KH   Jensen Siri Beier SB   Fox Philip C PC   Elting Linda S LS   Langendijk Johannes A JA   Coppes Robert P RP   Reyland Mary E ME  

International journal of radiation oncology, biology, physics 20101101 4


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 radiat  ...[more]

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