DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP
Autor(a) principal: | |
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Data de Publicação: | 2019 |
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/97 |
Resumo: | Introduction: Rhabdomyosarcoma is an aggressive malignant soft tissue neoplasm of immature mesenchymal cells treated with surgery and chemoradiotherapy. The effects of chemoradiotherapy in head induce a series of sequelae on oral cavity and growth development. Objectives: Report the case of a child undergoing treatment for rhabdomyosarcoma whose effects on the dento-maxillofacial development were cared for in order to safe guard the patient’s quality of life. Case report: Describes a case of severe dento-maxillofacial defects resulting from chemoradiation therapy for embryonal rhabdomyosarcoma in a child aswell as the dental management performed. Clinically, the patient had gingivitis, severe mobility of permanent teeth, hyposalivation, mucositis and severe trismus. The radiologic exams showed interruption of root formation of all permanent teeth and over-retention of primary teeth. Cephalometric analyses revealedmandibular and maxillary hypoplasia. Results: Was made extraction of the overretained primary teeth associated with a prophylactic program and use of artificial saliva due to hyposalivation in order to improve the quality of life of the patient. After 6 years of dental and phonoaudiologic follow-up her oral opening hasincreased and chewing and swallowing difficulties have decreased, there is no gingivitis or mucositis and she has remained free of recurrent or metastatic diseases 11 years after the initial diagnosis. Conclusion: Our report emphasizes the importance of dental treatment with a program of prevention and follow-upfor patients undergoing anticancer therapies. |
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DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UPDENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UPRhabdomyosarcoma, Maintenance Chemotherapy, Antineoplastic ProtocolsRabdomiossarcoma, Quimioterapia de Manutenção, Protocolos AntineoplásicosIntroduction: Rhabdomyosarcoma is an aggressive malignant soft tissue neoplasm of immature mesenchymal cells treated with surgery and chemoradiotherapy. The effects of chemoradiotherapy in head induce a series of sequelae on oral cavity and growth development. Objectives: Report the case of a child undergoing treatment for rhabdomyosarcoma whose effects on the dento-maxillofacial development were cared for in order to safe guard the patient’s quality of life. Case report: Describes a case of severe dento-maxillofacial defects resulting from chemoradiation therapy for embryonal rhabdomyosarcoma in a child aswell as the dental management performed. Clinically, the patient had gingivitis, severe mobility of permanent teeth, hyposalivation, mucositis and severe trismus. The radiologic exams showed interruption of root formation of all permanent teeth and over-retention of primary teeth. Cephalometric analyses revealedmandibular and maxillary hypoplasia. Results: Was made extraction of the overretained primary teeth associated with a prophylactic program and use of artificial saliva due to hyposalivation in order to improve the quality of life of the patient. After 6 years of dental and phonoaudiologic follow-up her oral opening hasincreased and chewing and swallowing difficulties have decreased, there is no gingivitis or mucositis and she has remained free of recurrent or metastatic diseases 11 years after the initial diagnosis. Conclusion: Our report emphasizes the importance of dental treatment with a program of prevention and follow-upfor patients undergoing anticancer therapies. Introdução: O rabdomiossarcoma é uma neoplasia maligna agressiva de tecido mole de células mesenquimais imaturas tratadas com cirurgia e quimioradioterapia. Os efeitos da quimioradioterapia na cabeça induzem uma série de sequelas na cavidade oral e no desenvolvimento do crescimento. Objetivo:Relatar o caso de uma criança em tratamento de rabdomiossarcoma cujos efeitos no desenvolvimento dento-maxilofacial foram cuidados a fim de salvaguardar a qualidade de vida do paciente. Relato de caso: Descreve um caso de defeitos dento-maxilo-faciais graves resultante de quimioradioterapia pararabdomiossarcoma embrionário em uma criança, bem como o manejo realizado. Clinicamente, a paciente apresentava gengivite, severa mobilidade dos dentes permanentes, hipossalivação, mucosite e trismo severo. Os exames radiográficos mostraram interrupção da formação radicular de todos os dentes permanentes e retenção dos dentes decíduos. Análises cefalométricas revelaram hipoplasia mandibular e maxilar. Resultados: Foi realizada a extração dos dentes decíduos retidos associado a um programa profilático e uso de saliva artificial devido à hipossalivação, a fim de melhorar a qualidade de vida do paciente. Após 6 anos de acompanhamento odontológico e fonoaudiológico, sua abertura bucal aumentou e as dificuldades de mastigação e deglutição diminuíram, não há gengivite ou mucosite e ela permaneceu livre de doenças recorrentes ou metastáticas 11 anos após o diagnóstico inicial. Conclusão: Nosso relato enfatiza a importância do tratamento odontológico com um programa de prevenção e acompanhamento para pacientes submetidos a terapias antineoplásicas.Rio de Janeiro Dental Journal2019-10-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cro-rj.org.br/revcientifica/index.php/revista/article/view/9710.29327/24816.4.2-9Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); Vol. 4 No. 2: May-August 2019; 52-55Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 4 n. 2: May-August 2019; 52-552595-47331518-524910.29327/24816.4.2reponame: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/97/73Copyright (c) 2019 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal)info:eu-repo/semantics/openAccessAlexandria, Adilis KalinaTannure, Patricia NivoloniNassur, CamilaCastro, Gloria Fernanda Barbosa de Araújode Souza, Ivete Pomarico Ribeiro2019-12-09T19:01:58Zoai:ojs3.cro-rj.org.br:article/97Revistahttps://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:2019-12-09T19:01:58Revista Científica do CRO-RJ (Online) - Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ)false |
dc.title.none.fl_str_mv |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
title |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
spellingShingle |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP Alexandria, Adilis Kalina Rhabdomyosarcoma, Maintenance Chemotherapy, Antineoplastic Protocols Rabdomiossarcoma, Quimioterapia de Manutenção, Protocolos Antineoplásicos |
title_short |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
title_full |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
title_fullStr |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
title_full_unstemmed |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
title_sort |
DENTOMAXILLOFACIAL SEQUELAE RESULTING FROM A CHEMORADIOTHERAPY AGAINST RHABDOMYOSARCOMA: 6-YEAR FOLLOW-UP |
author |
Alexandria, Adilis Kalina |
author_facet |
Alexandria, Adilis Kalina Tannure, Patricia Nivoloni Nassur, Camila Castro, Gloria Fernanda Barbosa de Araújo de Souza, Ivete Pomarico Ribeiro |
author_role |
author |
author2 |
Tannure, Patricia Nivoloni Nassur, Camila Castro, Gloria Fernanda Barbosa de Araújo de Souza, Ivete Pomarico Ribeiro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Alexandria, Adilis Kalina Tannure, Patricia Nivoloni Nassur, Camila Castro, Gloria Fernanda Barbosa de Araújo de Souza, Ivete Pomarico Ribeiro |
dc.subject.por.fl_str_mv |
Rhabdomyosarcoma, Maintenance Chemotherapy, Antineoplastic Protocols Rabdomiossarcoma, Quimioterapia de Manutenção, Protocolos Antineoplásicos |
topic |
Rhabdomyosarcoma, Maintenance Chemotherapy, Antineoplastic Protocols Rabdomiossarcoma, Quimioterapia de Manutenção, Protocolos Antineoplásicos |
description |
Introduction: Rhabdomyosarcoma is an aggressive malignant soft tissue neoplasm of immature mesenchymal cells treated with surgery and chemoradiotherapy. The effects of chemoradiotherapy in head induce a series of sequelae on oral cavity and growth development. Objectives: Report the case of a child undergoing treatment for rhabdomyosarcoma whose effects on the dento-maxillofacial development were cared for in order to safe guard the patient’s quality of life. Case report: Describes a case of severe dento-maxillofacial defects resulting from chemoradiation therapy for embryonal rhabdomyosarcoma in a child aswell as the dental management performed. Clinically, the patient had gingivitis, severe mobility of permanent teeth, hyposalivation, mucositis and severe trismus. The radiologic exams showed interruption of root formation of all permanent teeth and over-retention of primary teeth. Cephalometric analyses revealedmandibular and maxillary hypoplasia. Results: Was made extraction of the overretained primary teeth associated with a prophylactic program and use of artificial saliva due to hyposalivation in order to improve the quality of life of the patient. After 6 years of dental and phonoaudiologic follow-up her oral opening hasincreased and chewing and swallowing difficulties have decreased, there is no gingivitis or mucositis and she has remained free of recurrent or metastatic diseases 11 years after the initial diagnosis. Conclusion: Our report emphasizes the importance of dental treatment with a program of prevention and follow-upfor patients undergoing anticancer therapies. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-12 |
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/97 10.29327/24816.4.2-9 |
url |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/97 |
identifier_str_mv |
10.29327/24816.4.2-9 |
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/97/73 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) |
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. 4 No. 2: May-August 2019; 52-55 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 4 n. 2: May-August 2019; 52-55 2595-4733 1518-5249 10.29327/24816.4.2 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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1797042306219507712 |