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Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers
Authors:Vissink Arjan  Mitchell James B  Baum Bruce J  Limesand Kirsten H  Jensen Siri Beier  Fox Philip C  Elting Linda S  Langendijk Johannes A  Coppes Robert P  Reyland Mary E
Institution:Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Grongingen, The Netherlands.
Abstract:The most significant long-term complication of radiotherapy in the head-and-neck region is hyposalivation and its related complaints, particularily xerostomia. This review addresses the pathophysiology underlying irradiation damage to salivary gland tissue, the consequences of radiation injury, and issues contributing to the clinical management of salivary gland hypofunction and xerostomia. These include ways to (1) prevent or minimize radiation injury of salivary gland tissue, (2) manage radiation-induced hyposalivation and xerostomia, and (3) restore the function of salivary gland tissue damaged by radiotherapy.
Keywords:Radiotherapy  Hyposalivation  Xerostomia  Prevention  Palliative care  Gene transfer  Stem cell therapy
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