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Management of somatic pain induced by head and neck cancer treatment: Pain following radiation therapy and chemotherapy. Guidelines of the French Otorhinolaryngology Head and Neck Surgery Society (SFORL)
Affiliation:1. Service d’ORL, centre François-Baclesse, centre de lutte contre le cancer Basse-Normandie, 3, avenue Général-Harris, BP 5026, 14076 Caen, France;2. Cabinet de radiothérapie, 7, rue Laromiguière, 75005 Paris, France;3. Service de cancérologie, hôpital Beaujon, 100, boulevard du général-Leclerc, 92110 Clichy, France;4. Service d’anesthésie, institut Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France;5. Service de médecine physique et de réadaptation, hôpital de Bellevue, 42055 Saint-Étienne cedex, France;6. Service de chirurgie maxillo-faciale, CHU Nord, place Victor-Pauchet, 80054 Amiens cedex, France;7. Service d’ORL et de chirurgie cervico-faciale, hôpital Hôtel-Dieu, CHU, 1, place Alexis-Ricordeau, 44093 Nantes cedex, France;8. Département d’anesthésie-réanimation, CHU, 42100 Saint-Étienne, France;9. Hôpital Bretonneau, CHU, 2, boulevard Tonnellé, 37000 Tours, France;10. Service d’ORL et de chirurgie de la face et du cou, groupe hospitalier Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75877 Paris cedex 18, France;11. Service d’ORL et de chirurgie de la face et du cou, hôpital Bretonneau, CHU, 2, boulevard Tonnellé, 37000 Tours, France
Abstract:
ObjectivesThe authors present the section of the guidelines of the French Otorhinolaryngology Head and Neck Surgery Society (SFORL) for the management of somatic pain induced by head and neck cancer treatment concerning management of pain following radiation therapy and chemotherapy.MethodsA multidisciplinary work group was entrusted with a literature review. Guidelines were drawn up based on the articles retrieved and the group members’ experience. They were read over by an editorial group independent of the work group. A coordination meeting drew up the final version. Guidelines were graded A, B or C or as expert opinion in decreasing order of level of evidence.ResultsParticular care should be given to detection and early adapted treatment of pain induced by radiation therapy and/or chemotherapy, to improve quality of life in head and neck cancer patients.
Keywords:Mucositis  Neuropathy  Radiodermatitis  Osteoradionecrosis
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