Oral complications, treatment options and dental approach in patients with head and neck cancer

Ba-boyun kanserli hastalarda oral komplikasyonlar, tedavi seçenekleri ve dental yaklam

Abstract

Approximately 400 thousands of oral cavity and pharyngeal cancer and 160 thousands of laryngeal cancer patients are diagnosed in the world and approximately 300 thousands of them eventually die because of the cancer. Acute dental problems which develop during the treatment of these patients may cause unwanted treatment breaks, reduce the quality of life of the patients and leads to the increase in the cost of the treatment. The diagnosis and the treatment of oral lesions should be achieved in a multidisciplinary team which includes a dentists and doctors from the ear, nose and throat diseases, medical oncology and radiation oncology departments. It is very important to handle the treatment and cancer related complications by a multidisciplinary team in patients with the diagnosis of cancer. The prevention and treatment of oral complication related to head and neck cancer and its treatment improves oral functions, such as increasing the quality of life of patients, decreases the rate of morbidity. In recent years, there are many studies on the treatment of cancer which eventually improve the prognosis and the life span of the patients with the diagnosis of cancer. Therefore chronic dental problems have been increasingly important.

Özet

Her yl dünyada yaklak 400 bin oral kavite ve farinks kanseri ile 160 bin larinks kanseri vakas tan almakta ve bunlarda yaklak 300 bini ölümle sonuçlanmaktadr. Bu hastalarn tedavileri s- rasnda gelien akut dental sorunlar kanser tedavisinde istenmeyen ara vermelere, hastann yaam kalitesinin dümesine ve tedavi maliyetinin artna neden olmaktadr. Oral yerleimli lezyonlara tan konulmasnda ve tedavisinin planlanmasnda di hekimleri ile birlikte kulak burun boaz hastalklar, medikal onkoloji ve radyasyon onkolojisi uzmanlar multidisipliner olarak hareket etmelidirler. Kanser tedavisi gören hastalarda tedaviye veya kansere bal komplikasyonlarn multidisipliner olarak ele alnarak önlenmesi çok önemlidir. Ba-boyun kanseri ve tedavilerine bal oral komplikasyonlarn önlenmesi veya tedavi edilmesi, oral fonksiyonlar iyiletirecei gibi, hastalarda hayat kalitesini arttrmakta, morbidite oranlarn azaltmaktadr. Son yllarda kanser ve tedavisi ile ilgili çalmalar hz kazandndan pek çok kanser hastasnn prognozu iyilemekte ve yaam süresi uzamaktadr. Bu nedenle kronik dental sorunlar da giderek artan bir öneme sahip olmaktadr. Anahtar kelimele