Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers

Arjan Vissink, James B. Mitchell, Bruce J. Baum, Kirsten H. Limesand, Siri Beier Jensen, Philip C. Fox, Linda S. Elting, Johannes A. Langendijk, Robert P. Coppes, Mary E. Reyland

205 Citations (Scopus)

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.

Original languageEnglish
JournalInternational Journal of Radiation Oncology, Biology, Physics
Volume78
Issue number4
Pages (from-to)983-991
Number of pages8
ISSN0360-3016
DOIs
Publication statusPublished - 4 Nov 2010

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