open access

Vol 24, No 5 (2019)
Published online: 2019-09-01
Submitted: 2019-01-19
Get Citation

Are intraoral customized stents still necessary in the era of Highly Conformal Radiotherapy for Head & Neck cancer? Case series and literature review

P. Appendino, F. Della Ferrera, D. Nassisi, G. Blandino, E. Gino, S.D. Solla, M.G. Ruo Redda
DOI: 10.1016/j.rpor.2019.07.012
·
Rep Pract Oncol Radiother 2019;24(5):491-498.

open access

Vol 24, No 5 (2019)
Published online: 2019-09-01
Submitted: 2019-01-19

Abstract

Aim

To evaluate the dose sparing efficacy of intraoral customized stents in combination with IGRT/VMAT in Head & Neck cancer patients.

Background

Despite advances in high-dose conformal radiotherapy (RT) techniques, adverse effects (such as oral mucositis) during and after RT often require temporary suspension of treatment and affect the quality of life in survivors. Intraoral customized stents can decrease radiation doses in healthy tissues and minimize damage from radiations. At the best of our knowledge the clinical impact of such devices in combination with VMAT (volumetric modulated arc therapy) is not reported in the literature.

Cases description

Three Head & Neck cancer patients were submitted to image guided (IG) RT/VMAT in their treatment protocol. Dose distribution with and without the use of an intraoral stent was compared in each patient. Mean radiation doses proved to be lower in all patients, especially in the subsite: oral cavity.

Conclusions

There are several reports on the efficacy of IS during RT for Head & Neck cancer. Despite technological advances, the combination between high conformal RT and intraoral stents could still play a role in the management of this kind of patients. This strengthens the usefulness of the individualization of treatments and multidisciplinary approach.

Abstract

Aim

To evaluate the dose sparing efficacy of intraoral customized stents in combination with IGRT/VMAT in Head & Neck cancer patients.

Background

Despite advances in high-dose conformal radiotherapy (RT) techniques, adverse effects (such as oral mucositis) during and after RT often require temporary suspension of treatment and affect the quality of life in survivors. Intraoral customized stents can decrease radiation doses in healthy tissues and minimize damage from radiations. At the best of our knowledge the clinical impact of such devices in combination with VMAT (volumetric modulated arc therapy) is not reported in the literature.

Cases description

Three Head & Neck cancer patients were submitted to image guided (IG) RT/VMAT in their treatment protocol. Dose distribution with and without the use of an intraoral stent was compared in each patient. Mean radiation doses proved to be lower in all patients, especially in the subsite: oral cavity.

Conclusions

There are several reports on the efficacy of IS during RT for Head & Neck cancer. Despite technological advances, the combination between high conformal RT and intraoral stents could still play a role in the management of this kind of patients. This strengthens the usefulness of the individualization of treatments and multidisciplinary approach.

Get Citation

Keywords

Volumetric modulated arc therapy; Image guided radiotherapy; Intraoral stents; Oral side effects; Head & Neck cancers; Tissue sparing

About this article
Title

Are intraoral customized stents still necessary in the era of Highly Conformal Radiotherapy for Head & Neck cancer? Case series and literature review

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 24, No 5 (2019)

Pages

491-498

Published online

2019-09-01

DOI

10.1016/j.rpor.2019.07.012

Bibliographic record

Rep Pract Oncol Radiother 2019;24(5):491-498.

Keywords

Volumetric modulated arc therapy
Image guided radiotherapy
Intraoral stents
Oral side effects
Head & Neck cancers
Tissue sparing

Authors

P. Appendino
F. Della Ferrera
D. Nassisi
G. Blandino
E. Gino
S.D. Solla
M.G. Ruo Redda

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl