Document Detail


Preserving formerly impaired salivary gland function in radioiodine-treated thyroid papillary carcinoma.
MedLine Citation:
PMID:  23479590     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Salivary gland impairment after radioiodine therapy (RIT) is a well-known iatrogenic artifact that includes recurrent episodes of sialadenitis, hyposalivation, dysgeusia, and dysphagia. Several therapy modalities have been suggested over the years to decrease these effects on the salivary glands. However, in cases where the salivary gland system is impaired prior to RIT, preserving its function becomes more challenging. We present three patients who underwent RIT with pre-existing insult to the salivary glands and discuss the treatment modality employed. A protocol for treating patients with pre-existing salivary gland impairment prior to RIT is proposed. The dental professional personnel should be aware of RIT insult to the salivary glands in order to preserve more maliciously the oral health in these patients. Management of impaired salivary glands subjected to additional RIT is mandatory to reduce further damage to the glands' function primarily by combining interventional sialoendoscopy for recurrent sialadenitis and sialogogues for hyposalivation.
Authors:
Doron J Aframian; Oded Nahlieli; Adi Knopf; Ludmila Lukach; Nour Qawasmeh; Chen Nadler
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-18
Journal Detail:
Title:  Quintessence international (Berlin, Germany : 1985)     Volume:  -     ISSN:  1936-7163     ISO Abbreviation:  Quintessence Int     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-3-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342677     Medline TA:  Quintessence Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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