PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Científica do CRO-RJ (Online) |
Texto Completo: | https://cro-rj.org.br/revcientifica/index.php/revista/article/view/246 |
Resumo: | Introduction: Photobiomodulation therapy (PBM) has been recommended for the prevention of oral mucositis (OM). Objective: to evaluate the use of PBM to prevent and control the severity of oral mucositis lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer (HNC) treatment. Case reports: Eight patients with HNC attended for radiotherapy treatment, either associated with chemotherapy, or not were followed up. Clinical evaluation was performed, including meticulous anamnesis. The patients were followed up throughout the entire period of radiotherapy treatment. For the protocol of prophylaxis of OM, low level laser equipment was used, with a wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 4J/cm² three times per week and for the therapeutic protocol wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 8 J/cm², in the respective areas compromised by oral mucositis, 3 times per week till the complete remission of the lesions. All the patients were clinically followed up from the beginning of the antineoplastic therapy up to the conclusion of the medical treatment or total remission of the oral lesion, involving post radiotherapy control. A visual analog scale (VAS) was used to measure pain every week. Results: A progressive development of the lesions was observed from the 1st to the 5th week. Remission of OM was observed from the 7th week up to the conclusion of treatment. There is a continuous increase in the pain process, attaining the maximum level in the 6th week, with decline occurring up to the 7th week. Conclusion: Photobiomodulation therapy was able to control the severity of OM lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer treatment, avoiding the interruption of the cancer therapy. |
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PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTSPHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTSHead and Neck CancerLow Level Light TherapyMucositisPhotobiomodulationCase ReportsCâncer de Cabeça e PescoçoTerapia de Luz de Baixa IntensidadeMucositeFotobiomodulaçãoRelato de casosIntroduction: Photobiomodulation therapy (PBM) has been recommended for the prevention of oral mucositis (OM). Objective: to evaluate the use of PBM to prevent and control the severity of oral mucositis lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer (HNC) treatment. Case reports: Eight patients with HNC attended for radiotherapy treatment, either associated with chemotherapy, or not were followed up. Clinical evaluation was performed, including meticulous anamnesis. The patients were followed up throughout the entire period of radiotherapy treatment. For the protocol of prophylaxis of OM, low level laser equipment was used, with a wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 4J/cm² three times per week and for the therapeutic protocol wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 8 J/cm², in the respective areas compromised by oral mucositis, 3 times per week till the complete remission of the lesions. All the patients were clinically followed up from the beginning of the antineoplastic therapy up to the conclusion of the medical treatment or total remission of the oral lesion, involving post radiotherapy control. A visual analog scale (VAS) was used to measure pain every week. Results: A progressive development of the lesions was observed from the 1st to the 5th week. Remission of OM was observed from the 7th week up to the conclusion of treatment. There is a continuous increase in the pain process, attaining the maximum level in the 6th week, with decline occurring up to the 7th week. Conclusion: Photobiomodulation therapy was able to control the severity of OM lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer treatment, avoiding the interruption of the cancer therapy.Introdução: A terapia com fotobiomodulação (FBM) tem sido recomendada para a prevenção da mucosite oral (MO). Objetivo: avaliar o uso de FBM para prevenir e controlar a gravidade das lesões da mucosite oral e a sensibilidade dolorosa em pacientes submetidos à radioterapia para tratamento de câncer de cabeça e pescoço (CCP). Relato dos casos: Oito pacientes com CCP atendidos para tratamento radioterápico, associado ou não à quimioterapia, foram acompanhados. Foi realizada avaliação clínica, incluindo anamnese meticulosa. Os pacientes foram acompanhados durante todo o período de tratamento radioterápico. Para o protocolo de profilaxia de MO, foi utilizado um equipamento laser de baixa potência, com comprimento de onda na faixa de 660nm, em modo de contato e 30 mW de emissão contínua com 4J/cm2. Para o protocolo terapêutico, e para comprimento de onda na faixa de 660nm, em modo de contato e 30 mW de emissão contínua com 8J/cm2 na área da lesão, até sua completa remissão. Todos os pacientes foram acompanhados clinicamente desde o início da terapia antineoplásica até a conclusão do tratamento médico ou remissão total da lesão oral, envolvendo o controle pós-radioterapia. Uma escala visual analógica (EVA) foi usada para medir a dor semanalmente. Resultados: Observou-se um desenvolvimento progressivo das lesões da 1ª à 5ª semana. A remissão da mucosite oral foi observada a partir da 7ª semana até o final do tratamento. Houve um aumento contínuo do processo doloroso, atingindo o nível máximo na 6ª semana, com declínio ocorrendo até a 7ª semana. Conclusão: A terapia de fotobiomodulação foi capaz de controlar a gravidade das lesões de MO e a sensibilidade dolorosa em pacientes submetidos à radioterapia para tratamento do câncer de cabeça e pescoço, evitando a interrupção da terapia oncológica.Rio de Janeiro Dental Journal2022-05-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cro-rj.org.br/revcientifica/index.php/revista/article/view/24610.29327/244963.6.3-10Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); Vol. 6 No. 3: September-December 2021; 79-86Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 6 n. 3: September-December 2021; 79-862595-47331518-524910.29327/244963.6.3reponame:Revista Científica do CRO-RJ (Online)instname:Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ)instacron:CROporhttps://cro-rj.org.br/revcientifica/index.php/revista/article/view/246/154Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal)http://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCappellanes, ThaisBoraks, SilvioTholt, BeatrizPacheco, JulianoPrado, MaíraQueiroz, Celso2022-05-22T18:33:05Zoai:ojs3.cro-rj.org.br:article/246Revistahttps://cro-rj.org.br/revcientifica/index.php/revistahttps://cro-rj.org.br/revcientifica/index.php/revista/oairevista.cientifica@cro-rj.org.br || rorefa@terra.com.br2595-47331518-5249opendoar:2022-05-22T18:33:05Revista Científica do CRO-RJ (Online) - Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ)false |
dc.title.none.fl_str_mv |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
title |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
spellingShingle |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS Cappellanes, Thais Head and Neck Cancer Low Level Light Therapy Mucositis Photobiomodulation Case Reports Câncer de Cabeça e Pescoço Terapia de Luz de Baixa Intensidade Mucosite Fotobiomodulação Relato de casos |
title_short |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
title_full |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
title_fullStr |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
title_full_unstemmed |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
title_sort |
PHOTOBIOMODULATION THERAPY FOR ORAL MUCOSITIS MANAGEMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY: CASE REPORTS |
author |
Cappellanes, Thais |
author_facet |
Cappellanes, Thais Boraks, Silvio Tholt, Beatriz Pacheco, Juliano Prado, Maíra Queiroz, Celso |
author_role |
author |
author2 |
Boraks, Silvio Tholt, Beatriz Pacheco, Juliano Prado, Maíra Queiroz, Celso |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cappellanes, Thais Boraks, Silvio Tholt, Beatriz Pacheco, Juliano Prado, Maíra Queiroz, Celso |
dc.subject.por.fl_str_mv |
Head and Neck Cancer Low Level Light Therapy Mucositis Photobiomodulation Case Reports Câncer de Cabeça e Pescoço Terapia de Luz de Baixa Intensidade Mucosite Fotobiomodulação Relato de casos |
topic |
Head and Neck Cancer Low Level Light Therapy Mucositis Photobiomodulation Case Reports Câncer de Cabeça e Pescoço Terapia de Luz de Baixa Intensidade Mucosite Fotobiomodulação Relato de casos |
description |
Introduction: Photobiomodulation therapy (PBM) has been recommended for the prevention of oral mucositis (OM). Objective: to evaluate the use of PBM to prevent and control the severity of oral mucositis lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer (HNC) treatment. Case reports: Eight patients with HNC attended for radiotherapy treatment, either associated with chemotherapy, or not were followed up. Clinical evaluation was performed, including meticulous anamnesis. The patients were followed up throughout the entire period of radiotherapy treatment. For the protocol of prophylaxis of OM, low level laser equipment was used, with a wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 4J/cm² three times per week and for the therapeutic protocol wavelength in the range of 660nm, in a contact mode, 30 mW of continuous emission 8 J/cm², in the respective areas compromised by oral mucositis, 3 times per week till the complete remission of the lesions. All the patients were clinically followed up from the beginning of the antineoplastic therapy up to the conclusion of the medical treatment or total remission of the oral lesion, involving post radiotherapy control. A visual analog scale (VAS) was used to measure pain every week. Results: A progressive development of the lesions was observed from the 1st to the 5th week. Remission of OM was observed from the 7th week up to the conclusion of treatment. There is a continuous increase in the pain process, attaining the maximum level in the 6th week, with decline occurring up to the 7th week. Conclusion: Photobiomodulation therapy was able to control the severity of OM lesions and painful sensitivity in patients undergoing radiotherapy for head and neck cancer treatment, avoiding the interruption of the cancer therapy. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/246 10.29327/244963.6.3-10 |
url |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/246 |
identifier_str_mv |
10.29327/244963.6.3-10 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/246/154 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Rio de Janeiro Dental Journal |
publisher.none.fl_str_mv |
Rio de Janeiro Dental Journal |
dc.source.none.fl_str_mv |
Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); Vol. 6 No. 3: September-December 2021; 79-86 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 6 n. 3: September-December 2021; 79-86 2595-4733 1518-5249 10.29327/244963.6.3 reponame:Revista Científica do CRO-RJ (Online) instname:Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) instacron:CRO |
instname_str |
Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) |
instacron_str |
CRO |
institution |
CRO |
reponame_str |
Revista Científica do CRO-RJ (Online) |
collection |
Revista Científica do CRO-RJ (Online) |
repository.name.fl_str_mv |
Revista Científica do CRO-RJ (Online) - Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) |
repository.mail.fl_str_mv |
revista.cientifica@cro-rj.org.br || rorefa@terra.com.br |
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1797042305768620032 |